General Surgery Department, Surgical Oncology Clinic, Ankara University Medicine Faculty, Ankara, Turkey.
Surgical Oncology Clinic, Diyarbakır Research Hospital, Diyarbakir, Turkey.
J Laparoendosc Adv Surg Tech A. 2020 Nov;30(11):1204-1214. doi: 10.1089/lap.2020.0180. Epub 2020 Apr 28.
The study aims to evaluate the long-term results of patients who underwent laparoscopic gastrectomy for gastric cancer in Ankara University Medical Faculty, Surgical Oncology Clinic, within 5 years. We retrospectively reviewed the data of patients who underwent laparoscopic gastrectomy for gastric cancer at the Surgical Oncology Clinic of Ankara University Medical Faculty between January 2014 and September 2019. One hundred forty-six patients were included in the study. Fifty-one (34.9%) of the patients were female; 95 (65.1%) were male. The mean ± standard deviation and median (minimum-maximum) values of the patients were 60.92 ± 14.13 and 64.00 (22.00-93.00), respectively (Table 1). Eighty-seven (59.6%) cases were located in the antrum, 29 (19.9%) were in the cardia region, and 30 (20.5%) were in the corpus region. Overall, 106 (72.6%) of 146 patients were alive, while 40 (27.4%) were ex. The mean survival was 21.8 months (0-69). Postoperative mortality was seen in 9 patients (6.2%) and our disease-free survival rate was 70.5%. Recurrence occurred in 14 (9.6%) of all patients. [Table: see text] In conclusion, although laparoscopic gastrectomy is a reliable and feasible method for gastric cancer, the standardization of laparoscopic surgery is required in clinics.
本研究旨在评估在安卡拉大学医学院外科肿瘤学诊所接受腹腔镜胃癌手术的患者在 5 年内的长期结果。我们回顾性分析了 2014 年 1 月至 2019 年 9 月期间在安卡拉大学医学院外科肿瘤学诊所接受腹腔镜胃癌手术的患者数据。共有 146 例患者纳入研究。其中，51 例（34.9%）为女性；95 例（65.1%）为男性。患者的平均（±标准差）和中位数（最小值-最大值）分别为 60.92±14.13 和 64.00（22.00-93.00）（表 1）。87 例（59.6%）位于胃窦部，29 例（19.9%）位于贲门部，30 例（20.5%）位于胃体部。总的来说，146 例患者中 106 例（72.6%）存活，40 例（27.4%）死亡。平均生存时间为 21.8 个月（0-69 个月）。9 例（6.2%）患者术后死亡，无病生存率为 70.5%。所有患者中，14 例（9.6%）发生复发。[表：见正文]总之，虽然腹腔镜胃癌手术是一种可靠且可行的方法，但在临床实践中需要规范腹腔镜手术。
