Page 42 - tmp

Gastric Cancer Resection
the eligibility criteria or refusing to be recruited in the study. they were more distally located (69.4%), all were adenocarcinoma with
The remaining 46 patients were randomized: 23 patients for OG 86.1% differentiated, and 55.6% had TNM stage II. (Table 1)
(group A) and 23 for LG (group B). After assignment, four patients The mean operative time was 260.6 ± 46.7 minutes in LG vs
had been refused to complete the study (early withdrawal): one 191.0 ± 24.7 minutes in OG group (p-value <0.001) (Fig. 2). Blood loss
from OG group and three from LG group. Locally advanced cases was more in OG 372.5 ± 125.1 mL compared to 296.6 ± 124.2 mL in
received palliative resection and were excluded from both the LG with a nonsignificant p-value = 0.077. The number of harvested
groups. The study ended up with a total of 36 patients (20 for OG LNs was nonsignificantly higher in OG 21.0 ± 6.5 compared to LG
and 16 for LG) (Fig. 1). The mean time of follow-up was 5 months 16.8 ± 6.5 (p-value = 0.064). Intraoperative injury occurred in one
ranging from 40 days to 10 months. case of open group (5%), where the middle colic artery was injured
Although there was no statistical difference between the two leading to colonic ischemia that required resection with primary
groups in the clinicopathological data, we noticed the following. The anastomosis. In another case in LG group (6.25%), pleural injury that
mean age of recruited patients was 52.5 ± 11.4 years old ranging from 33 was dealt with by simple airtight repair was reported with no need
to 78 years old. There were 24 males and 12 females. As regards tumors, for intercostal tube insertion (Table 2).

Fig. 1: CONSORT flow diagram of the study

Table 1: Clinicopathological characteristics of studied groups
Total OG LG
(N = 36) (N = 20) (N = 16) p value †
Age 52.5 ± 11.4 54.7 ± 13.7 49.7 ± 7.0 0.192
Male 24 (66.7%) 13 (65.0%) 11 (68.8%)
Sex 0.813
Female 12 (33.3%) 7 (35.0%) 5 (31.2%)
Upper 10 (27.8%) 6 (30%) 4 (25.0%)
Site of tumor Middle 1 (2.8%) 0 1 (6.2%) 0.514
Distal 25 (69.4%) 14 (70%) 11 (68.8%)
Differentiated 31 (86.1%) 18 (90.0%) 13 (81.2%)
Histopathology 0.451
Not differentiated 5 (13.9%) 2 (1.0%) 3 (18.8%)
Distal 24 (66.7%) 13 (65.0%) 11 (68.8%)
Resection type Proximal 10 (27.8%) 6 (30.0%) 4 (25.0%) 0.940
Total 2 (5.6%) 1 (5.0%) 1 (6.2%)
II 20 (55.6%) 10 (50%) 10 (62.5%)
TNM stage 0.453
III 16 (44.4%) 10 (50%) 6 (37.5%)
Data presented as mean ± SD or number and percentage n (%);
† Student’s t-test and Chi-square test were used

108 World Journal of Laparoscopic Surgery, Volume 14 Issue 2 (May–August 2021)