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KMID : 1141820180180030287
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Journal of Gastric Cancer
2018 Volume.18 No. 3 p.287 ~ p.295
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Safety of Laparoscopic Radical Gastrectomy in Gastric Cancer Patients with End-Stage Renal Disease
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Lee Haye-Min
Park Cho-Hyun
Park Seung-Man
Kim Wook
Chin Hyung-Min
Kim Jin-Jo
Song Kyo-Young
Kim Sung-Geun
Jun Kyong-Hwa
Kim Jeong-Goo
Lee Han-Hong
Lee Jun-Hyun
Kim Dong-Jin
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Abstract
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Purpose: The surgical outcomes of end-stage renal disease (ESRD) patients undergoing radical gastrectomy for gastric cancer were inferior compared with those of non-ESRD patients. This study aimed to evaluate the short- and long-term surgical outcomes of ESRD patients undergoing laparoscopic gastrectomy (LG) and open gastrectomy (OG) for gastric cancer.
Materials and Methods: Between 2004 and 2014, 38 patients (OG: 21 patients, LG: 17 patients) with ESRD underwent gastrectomy for gastric cancer. Comparisons were made based on the clinicopathological characteristics, surgical outcomes, and long-term survival rates.
Results: No significant differences were noted in the clinicopathological characteristics of either group. LG patients had lower estimated blood loss volumes than OG patients (LG vs. OG: 94 vs. 275 mL, P=0.005). The operation time and postoperative hospital stay were similar in both the groups. The postoperative morbidity for LG and OG patients was 41.1% and 33.3%, respectively (P=0.873). No significant difference was observed in the long-term overall survival rates between the 2 groups (5-year overall survival, LG vs. OG: 82.4% vs. 64.7%, P=0.947).
Conclusions: In ESRD patients, LG yielded non-inferior short- and long-term surgical outcomes compared to OG. Laparoscopic procedures might be safely adopted for ESRD patients who can benefit from the advantages of minimally invasive surgery.
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KEYWORD
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Stomach neoplasms, Gastrectomy, Laparoscopy, Kidney failure
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