Minimally Invasive Versus Open Total Gastrectomy for Gastric Cancer: A Systematic Review and Meta-analysis of Short-Term Outcomes and Completeness of Resection

详细信息    查看全文

• 作者：Jennifer Straatman ; Nicole van der Wielen ; Miguel A. Cuesta…
• 刊名：World Journal of Surgery
• 出版年：2016
• 出版时间：January 2016
• 年：2016
• 卷：40
• 期：1
• 页码：148-157
• 全文大小：1,838 KB
• 参考文献：1.Jemal A, Bray F, Center MM et al (2011) Global cancer statistics. CA Cancer J Clin 61:69–90PubMed CrossRef
  2.Japanese Gastric Cancer Association (2011) Japanese gastric cancer treatment guidelines 2010 (version 3). Gastric Cancer 14:113–123CrossRef
  3.Cunningham D, Allum WH, Stenning SP et al (2006) Perioperative chemotherapy versus surgery alone for resectable gastroesophageal cancer. N Engl J Med 355:11–20PubMed CrossRef
  4.Dikken JL, van Sandick JW, Maurits Swellengrebel HA et al (2011) Neo-adjuvant chemotherapy followed by surgery and chemotherapy or by surgery and chemoradiotherapy for patients with resectable gastric cancer (CRITICS). BMC Cancer 11:1–8CrossRef
  5.Kitano S, Iso Y, Moriyama M et al (1994) Laparoscopy-assisted Billroth I gastrectomy. Surg Laparosc Endosc 4:146–148PubMed
  6.Azagra JS, Goergen M, De Simone P et al (1999) Minimally invasive surgery for gastric cancer. Surg Endosc 13:351–357PubMed CrossRef
  7.Cai J, Wei D, Gao CF et al (2011) A prospective randomized study comparing open versus laparoscopy-assisted D2 radical gastrectomy in advanced gastric cancer. Dig Surg 28:331–337PubMed CrossRef
  8.Lee JH, Son SY, Lee CM et al (2012) Morbidity and mortality after laparoscopic gastrectomy for advanced gastric cancer: results of a phase II clinical trial. Surg Endosc 27:2877–2885CrossRef
  9.Haverkamp L, Weijs TJ, van der Sluis PC et al (2013) Laparoscopic total gastrectomy versus open total gastrectomy for cancer: a systematic review and meta-analysis. Surg Endosc 27:1509–1520PubMed CrossRef
  10.Chen K, Xu XW, Mou YP et al (2013) Systematic review and meta-analysis of laparoscopic and open gastrectomy for advanced gastric cancer. World J Surg Oncol 11:1–13. doi:10.​1186/​1477-7819-11-182 CrossRef
  11.Martinez-Ramos D, Miralles-Tena JM, Cuesta MA et al (2011) Laparoscopy versus open surgery for advanced and resectable gastric cancer: a meta-analysis. Rev Esp Enferm Dig 103:133–141PubMed CrossRef
  12.Kim KH, Kim MC, Jung GJ et al (2012) Comparative analysis of five-year survival results of laparoscopy-assisted gastrectomy versus open gastrectomy for advanced gastric cancer: a case-control study using a propensity score method. Dig Surg 29:165–171PubMed CrossRef
  13.Inokuchi M, Kojima K, Kato K et al (2013) Feasibility of laparoscopy-assisted gastrectomy for patients with chronic obstructive pulmonary disease. Surg Endosc 27:2102–2109PubMed CrossRef
  14.Clavien PA, Barkun J, de Oliveira ML et al (2009) The Clavien-Dindo classification of surgical complications; five year experience. Ann Surg 250:187–196PubMed CrossRef
  15.Dindo D, Demartines N, Clavien PA (2004) Classification of surgical complications; a new proposal with evaluation in a cohort of 6336 patient and results of a survey. Ann Surg 240:205–213PubMed PubMedCentral CrossRef
  16.Topal B, Leys E, Ectors C et al (2008) Determinants of complications and adequacy of surgical resection in laparoscopic versus open total gastrectomy for adenocarcinoma. Surg End 22:980–984CrossRef
  17.Deeks JJ, Dinnes J, D’Amico R et al (2003) Evaluating non-randomised intervention studies. Health Technol Assess 7:1–173CrossRef
  18.Centre for Evidence-Based Medicine. levels of evidence [CEBM web site]. Available at: http://​www.​cebm.​net/​?​o=​1025 . accessed July 28 2014
  19.Liberati A, Altman DG, Tetzlaff J et al (2009) The PRISMA statement for reporting systematic reviews and meta-analyses of studies that evaluate healthcare interventions: explanation and elaboration. BMJ 339:b2700PubMed PubMedCentral CrossRef
  20.Du J, Zheng J, Li Y et al (2010) Laparoscopy-assisted total gastrectomy with extended lymph node resection for advanced gastric cancer—reports of 82 cases. Hepatogastroenterology 57:1589–1594PubMed
  21.Dulucq JL, Wintringer P, Stabilini C et al (2005) Laparoscopic and open gastric resections for malignant lesions: a prospective comparative study. Surg Endosc 19:933–938PubMed CrossRef
  22.Kawamura H, Yokota R, Homma S et al (2010) Comparison of respiratory function recovery in the early phase after laparoscopy-assisted gastrectomy and open gastrectomy. Surg Endosc 24:2739–2742PubMed CrossRef
  23.Kim SG, Lee YJ, Ha WS et al (2008) LATG with extracorporeal esophagojejunostomy: is this minimally invasive surgery for gastric cancer? J Laparoendosc Adv Surg Tech A 18:572–578PubMed CrossRef
  24.Kim MG, Kim BS, Kim TH et al (2011) The effects of laparoscopic assisted total gastrectomy on surgical outcomes in the treatment of gastric cancer. J Korean Surg Soc 80:245–250PubMed PubMedCentral CrossRef
  25.Mochiki E, Toyomasu Y, Ogata K et al (2008) Laparoscopically assisted total gastrectomy with lymph node dissection for upper and middle gastric cancer. Surg Endosc 22:1997–2002PubMed CrossRef
  26.Sakuramoto S, Kikuchi S, Futawatari N et al (2009) Laparoscopy-assisted pancreas- and spleen-preserving total gastrectomy for gastric cancer as compared with open total gastrectomy. Surg Endosc 23:2416–2423PubMed CrossRef
  27.Siani LM, Ferranti F, De Carlo A et al (2012) Completely laparoscopic versus open total gastrectomy in stage I-III/C gastric cancer: safety, efficacy and five-year oncologic outcome. Minerva Chir 67:319–326PubMed
  28.Usui S, Yoshida T, Ito K et al (2005) Laparoscopy-assisted total gastrectomy for early gastric cancer: comparison with conventional open total gastrectomy. Surg Laparosc Endosc Percutan Tech 15:309–314PubMed CrossRef
  29.Bo T, Peiwu Y, Feng Q et al (2013) Laparoscopy-assisted vs. open total gastrectomy for advanced gastric cancer: long-term outcomes and technical aspects of a case-control study. J Gastrointest Surg 17:1202–1208PubMed CrossRef
  30.Lee MS, Lee JH, Park do J et al (2013) Comparison of short- and long-term outcomes of laparoscopic-assisted total gastrectomy and open total gastrectomy in gastric cancer patients. Surg Endosc 27:2598–2605PubMed CrossRef
  31.Stroup DF, Berlin JA, Morton SC et al (2000) Meta-analysis of observational studies in epidemiology: a proposal for reporting. Meta-analysis Of Observational Studies in Epidemiology (MOOSE) group. JAMA 283:2008–2012PubMed CrossRef
  32.Jeong O, Ryu SY, Choi WY et al (2014) Risk factors and learning curve associated with postoperative morbidity of laparoscopic total gastrectomy for gastric carcinoma. Ann Surg Oncol 9:2994–3001CrossRef
  33.Kim BS, Kim MG, Kim KC et al (2011) A practical way to overcome the learning period of laparoscopic gastrectomy for gastric cancer. Surg Endosc 25:3838–3844PubMed CrossRef
  34.Ev Cutsem, Dicato M, Geva R et al (2010) (2011): The diagnosis and management of gastric cancer: expert discussion and recommendations from the 12th ESMO/World congress on gastrointestinal cancer, Barcelona. Ann Oncol 22:v1–v9
  35.Dikken JL, Stiekema J, van de Velde CJH et al (2013) Quality of Care indicators for the surgical treatment of gastric cancer: a systematic review. Ann Surg Oncol 20:381–398PubMed CrossRef
  36.Kattan MW, Karpeh MS, Mazumdar M et al (2003) Postoperative nomogram for disease-specific survival after an R0 resection for gastric carcinoma. J Clin Oncol 21:3647–3650PubMed CrossRef
  37.Japanese Gastric Cancer Association (1998) Japanese classification of gastric carcinoma, 2nd English edition. Gastric Cancer 1:10–24PubMed CrossRef
  38.Straatman J, van der Wielen N, Cuesta MA et al (2015) Surgical techniques, open versus minimally invasive gastrectomy after chemotherapy (STOMACH trial): study protocol for a randomized controlled trial. Trials 16:123PubMed PubMedCentral CrossRef
  
• 作者单位：Jennifer Straatman (1)
  Nicole van der Wielen (1)
  Miguel A. Cuesta (1)
  Elly S. M. de Lange – de Klerk (2)
  Elise P. Jansma (3)
  Donald L. van der Peet (1)
  
  1. Department of Gastrointestinal Surgery, VU University Medical Centre, De Boelelaan 1117, ZH 7F020, 1081 HV, Amsterdam, The Netherlands
  2. Department of Epidemiology and Biostatistics, VU University Medical Centre, Amsterdam, The Netherlands
  3. Medical Library, VU University Medical Centre, Amsterdam, The Netherlands
  
• 刊物类别：Medicine
• 刊物主题：Medicine & Public Health
  Surgery
  Abdominal Surgery
  Cardiac Surgery
  General Surgery
  Thoracic Surgery
  Vascular Surgery
  
• 出版者：Springer New York
• ISSN：1432-2323

文摘

Minimally invasive surgical techniques for gastric cancer are gaining more acceptance worldwide as an alternative to open resection. In order to assess the role of minimally invasive and open techniques in total gastrectomy for cancer, a systematic review and meta-analysis was performed. Articles comparing minimally invasive versus open total gastrectomy were reviewed, collected from the Medline, Embase, and Cochrane databases. Two different authors (JS and NW) independently selected and assessed the articles. Outcomes regarding operative results, postoperative recovery, morbidity, mortality, and oncological outcomes were analyzed. Statistical analysis portrayed the weighted mean difference (WMD) with a 95 % confidence interval and odds ratio (OR). Out of 1242 papers, 12 studies were selected, including a total of 1360 patients, of which 592 underwent minimally invasive total gastrectomy (MITG). Compared to open total gastrectomy (OTG), MITG showed a longer operation time (WMD: 48.06 min, P < 0.00001), less operative blood loss (WMD: −160.70 mL, P < 0.00001), faster postoperative recovery, measured as shorter time to first flatus (WMD −1.05 days, P < 0.00001), shorter length of hospital stay (WMD: −2.43 days, P = 0.0002), less postoperative complications (OR 0.66, P = 0.02), similar mortality rates (OR 0.60, P = 0.52), and similar rates in lymph node yield (WMD −2.30, P = 0.06). Minimally invasive total gastrectomy showed faster postoperative recovery and less postoperative complications, whereas completeness of the resection was similar in both groups. Duration of surgery was longer in the minimally invasive group. Only comparative non-randomized studies were available, further emphasizing the need for a prospective randomized trial comparing MITG and OTG.