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首页> 外文期刊>Surgical Endoscopy >Comparison of complications after laparoscopy-assisted distal gastrectomy and open distal gastrectomy for gastric cancer using the Clavien-Dindo classification.
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Comparison of complications after laparoscopy-assisted distal gastrectomy and open distal gastrectomy for gastric cancer using the Clavien-Dindo classification.

机译：使用Clavien-Dindo分类法比较腹腔镜辅助远端胃切除术和开放性远端胃切除术治疗胃癌后的并发症。

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摘要

The complication rate after surgery for gastric cancer varies according to the particular definition of morbidity. Complications after gastrectomy should be reported using a standardized method. The present study retrospectively analyzed patient outcomes after open distal gastrectomy (ODG) and laparoscopy-assisted distal gastrectomy (LADG) for gastric cancer using a standardized classification system of the severity of complications (the Clavien-Dindo system).A total of 1,631 patients who underwent curative ODG or LADG for gastric adenocarcinoma between May 2003 and December 2009 were included in the study and any risk factors related to complications were analyzed.Six hundred twenty-nine patients were treated with ODG and 1,002 with LADG. Postoperative complications were less frequent in the LADG group than in the ODG group (25.3% vs. 40.1%, P < 0.001), and fewer major complications (Clavien-Dindo classification ≥IIIa) were observed with LADG than with ODG (2.1% vs. 5.4%, P < 0.001). Multivariate analysis showed that the laparoscopic surgical approach correlated with significantly fewer overall and major complications in patients with stage I disease.Using the Clavien-Dindo system, we observed fewer complications with LADG than with ODG. This shows that the laparoscopic approach for treating gastric cancer is less invasive than the open approach in terms of morbidity. Future studies will be needed to confirm this.
机译：胃癌手术后的并发症发生率根据发病率的特定定义而有所不同。胃切除术后的并发症应采用标准化方法报告。本研究使用标准化的并发症严重程度分类系统（Clavien-Dindo系统）回顾性分析了开放式远端胃切除术（ODG）和腹腔镜辅助远端胃切除术（LADG）治疗胃癌后的患者预后。共有1,631例患者该研究纳入了2003年5月至2009年12月间接受治疗的ODG或LADG治疗胃腺癌的病例，并分析了与并发症相关的任何危险因素。629例接受ODG治疗，1,002例接受LADG治疗。 LADG组的术后并发症发生率比ODG组低（25.3％vs.40.1％，P <0.001），并且LADG的主要并发症（Clavien-Dindo分类≥IIIa）较ODG少（2.1％vs 5.4％，P <0.001）。多变量分析显示，腹腔镜手术方法与I期疾病患者的总体和主要并发症明显减少有关。使用Clavien-Dindo系统，我们观察到LADG的并发症少于ODG。这表明，就发病率而言，腹腔镜治疗胃癌的侵入性比开放治疗低。需要进一步的研究来确认这一点。

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