Gastrectomía totalmente laparoscópica por neoplasias gástricas: Experiencia en un centro público

Background: The laparoscopic approach for the treatment of gastric tumors has many advantages. Aim: To evaluate the results of a laparoscopic gastrectomy program developed in a public hospital. Patients and Methods: Retrospective review of epidemiological, perioperative and follow-up data of patient...

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Autores principales:	Norero,Enrique, Báez,Sergio, Briceño,Eduardo, Martínez,Cristian, Ceroni,Marco, Escalona,Alex, Aguayo,Gloria, González,Paulina, Araos,Fernando, Calvo,Alfonso, Díaz,Alfonso, Viñuela,Eduardo
Lenguaje:	Spanish / Castilian
Publicado:	Sociedad Médica de Santiago 2015
Materias:	Gastrectomy Minimally invasive surgical procedures Stomach neoplasms
Acceso en línea:	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872015000300001
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spelling	oai:scielo:S0034-988720150003000012015-08-11Gastrectomía totalmente laparoscópica por neoplasias gástricas: Experiencia en un centro públicoNorero,EnriqueBáez,SergioBriceño,EduardoMartínez,CristianCeroni,MarcoEscalona,AlexAguayo,GloriaGonzález,PaulinaAraos,FernandoCalvo,AlfonsoDíaz,AlfonsoViñuela,Eduardo Gastrectomy Minimally invasive surgical procedures Stomach neoplasms Background: The laparoscopic approach for the treatment of gastric tumors has many advantages. Aim: To evaluate the results of a laparoscopic gastrectomy program developed in a public hospital. Patients and Methods: Retrospective review of epidemiological, perioperative and follow-up data of patients who were treated with a laparoscopic gastrectomy due to gastric tumors between 2006 and 2013. A totally laparoscopic technique was used for all cases. Complications were evaluated according to the Clavien-Dindo classification. Results: Fifty one patients, aged 65 (36-85) years, underwent a laparoscopic gastrectomy. In 22 patients a total gastrectomy was performed. Conversion rate to open surgery was 8%. Operative time was 330 (90-500) min and bleeding was 200 (20-500) ml. Median hospital stay was 7 (3-37) days. Postoperative morbidity was present in 17 (33%) patients, 3 (6%) patients had complications grade 3 or higher and one patient died (1.9%). Tumor pathology was adenocarcinoma in 39 patients. A complete resection was achieved in 97%. Twenty nine patients (74%) with gastric adenocarcinoma had early gastric cancer and 84% of patients were in stage one. Median lymph node count was 24. Median follow-up was 26 (1-91) months. There was no cancer related mortality among patients subjected to a curative resection. Overall survival for patients with adenocarcinoma was 92% at 3 years. Conclusions: This study supports the feasibility and safety of a laparoscopic gastrectomy program in a public hospital; with low morbidity, adequate lymph node dissection and long-term survival. This approach must be considered an option for selected patients with gastric cancer.info:eu-repo/semantics/openAccessSociedad Médica de SantiagoRevista médica de Chile v.143 n.3 20152015-03-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872015000300001es10.4067/S0034-98872015000300001
institution	Scielo Chile
collection	Scielo Chile
language	Spanish / Castilian
topic	Gastrectomy Minimally invasive surgical procedures Stomach neoplasms
spellingShingle	Gastrectomy Minimally invasive surgical procedures Stomach neoplasms Norero,Enrique Báez,Sergio Briceño,Eduardo Martínez,Cristian Ceroni,Marco Escalona,Alex Aguayo,Gloria González,Paulina Araos,Fernando Calvo,Alfonso Díaz,Alfonso Viñuela,Eduardo Gastrectomía totalmente laparoscópica por neoplasias gástricas: Experiencia en un centro público
description	Background: The laparoscopic approach for the treatment of gastric tumors has many advantages. Aim: To evaluate the results of a laparoscopic gastrectomy program developed in a public hospital. Patients and Methods: Retrospective review of epidemiological, perioperative and follow-up data of patients who were treated with a laparoscopic gastrectomy due to gastric tumors between 2006 and 2013. A totally laparoscopic technique was used for all cases. Complications were evaluated according to the Clavien-Dindo classification. Results: Fifty one patients, aged 65 (36-85) years, underwent a laparoscopic gastrectomy. In 22 patients a total gastrectomy was performed. Conversion rate to open surgery was 8%. Operative time was 330 (90-500) min and bleeding was 200 (20-500) ml. Median hospital stay was 7 (3-37) days. Postoperative morbidity was present in 17 (33%) patients, 3 (6%) patients had complications grade 3 or higher and one patient died (1.9%). Tumor pathology was adenocarcinoma in 39 patients. A complete resection was achieved in 97%. Twenty nine patients (74%) with gastric adenocarcinoma had early gastric cancer and 84% of patients were in stage one. Median lymph node count was 24. Median follow-up was 26 (1-91) months. There was no cancer related mortality among patients subjected to a curative resection. Overall survival for patients with adenocarcinoma was 92% at 3 years. Conclusions: This study supports the feasibility and safety of a laparoscopic gastrectomy program in a public hospital; with low morbidity, adequate lymph node dissection and long-term survival. This approach must be considered an option for selected patients with gastric cancer.
author	Norero,Enrique Báez,Sergio Briceño,Eduardo Martínez,Cristian Ceroni,Marco Escalona,Alex Aguayo,Gloria González,Paulina Araos,Fernando Calvo,Alfonso Díaz,Alfonso Viñuela,Eduardo
author_facet	Norero,Enrique Báez,Sergio Briceño,Eduardo Martínez,Cristian Ceroni,Marco Escalona,Alex Aguayo,Gloria González,Paulina Araos,Fernando Calvo,Alfonso Díaz,Alfonso Viñuela,Eduardo
author_sort	Norero,Enrique
title	Gastrectomía totalmente laparoscópica por neoplasias gástricas: Experiencia en un centro público
title_short	Gastrectomía totalmente laparoscópica por neoplasias gástricas: Experiencia en un centro público
title_full	Gastrectomía totalmente laparoscópica por neoplasias gástricas: Experiencia en un centro público
title_fullStr	Gastrectomía totalmente laparoscópica por neoplasias gástricas: Experiencia en un centro público
title_full_unstemmed	Gastrectomía totalmente laparoscópica por neoplasias gástricas: Experiencia en un centro público
title_sort	gastrectomía totalmente laparoscópica por neoplasias gástricas: experiencia en un centro público
publisher	Sociedad Médica de Santiago
publishDate	2015
url	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872015000300001
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Gastrectomía totalmente laparoscópica por neoplasias gástricas: Experiencia en un centro público

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