Skip to main content
SpringerLink
Log in

Long-term quality of life after laparoscopy-assisted distal gastrectomy for gastric cancer

  • Published:
Surgical Endoscopy Aims and scope Submit manuscript

Abstract

Background

Laparoscopy-assisted distal gastrectomy (LAG) is gaining acceptance for treating early gastric cancer. However, the long-term quality of life after LAG for gastric cancer is unknown. This study compared the long-term quality of life after LAG versus open distal gastrectomy (ODG) for early gastric cancer.

Method

This study included 53 patients who underwent LAG and 37 patients who underwent ODG for treatment of early gastric cancer. Quality of life was evaluated on the basis of a 22-item questionnaire that addressed food tolerance and mental and physical conditions, scored on a scale of 1–3.

Results

The mean follow-up periods after LAG and ODG were 99.3 and 97.0 months, respectively. Although the majority of patients who had undergone LAG were consuming a normal diet and had weight loss of less than 5 kg, all 22 items and the total score of the LAG group were comparable to those of the ODG group. However, the incidence of postoperative intestinal obstruction was significantly lower in the LAG group than in the ODG group (1% vs. 13%, p < 0.05).

Conclusions

LAG is equivalent to ODG with respect to long-term quality of life and is associated with a reduced incidence of postoperative intestinal obstruction.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Similar content being viewed by others

References

  1. Kitano S, Iso Y, Moriyama M, Sugimachi K (1994) Laparoscopy-assisted Billroth I gastrectomy. Surg Laparosc Endosc 4: 146–148

    CAS  PubMed  Google Scholar 

  2. Dulucq JL, Wintringer P, Perissat J, Mahajna A (2005) Completely laparoscopic total and partial gastrectomy for benign and malignant diseases: a single institute’s prospective analysis. J Am Coll Surg 200: 191–197

    Article  PubMed  Google Scholar 

  3. Husher CGS, Mingoli A, Sgarzini G, Sansonetti A, Di Paola M, Recher A, Ponzano C (2005) Laparoscopic versus open subtotal gastrectomy for distal gastric cancer: five-year results of a randomized prospective trial. Ann Surg 241: 232–237

    Article  Google Scholar 

  4. Kitano S, Shiraishi N, Kakisako K, Yasuda K, Inomata M, Adachi Y (2002) Laparoscopy-assisted Billroth I gastrectomy (LADG) for cancer: our 10 year’s experience. Surg Laparosc Endosc Percutan Tech 12: 204–207

    Article  PubMed  Google Scholar 

  5. Adachi Y, Shiraishi N, Shiromizu A, Bandoh T, Aramaki M, Kitano S (2000) Laparoscopy-assisted Billroth I gastrectomy compared with conventional open gastrectomy. Arch Surg 135: 806–810

    Article  CAS  PubMed  Google Scholar 

  6. Kitano S, Shiraishi N, Fujii K, Yasuda K, Inomata M, Adachi Y (2002) A randomized controlled trial comparing open vs laparoscopy-assisted distal gastrectomy for the treatment of early gastric cancer: an interim report. Surgery 131(suppl): 306–311

    Article  Google Scholar 

  7. Yano H, Monden T, Kinuta M, Nakano Y, Tono T, Matsui S, Iwazawa T, Kanoh T, Katsushima S (2001) The usefulness of laparoscopy-assisted distal gastrectomy in comparison with that of open distal gastrectomy for early gastric cancer. Gastric Cancer 4: 93–97

    Article  CAS  PubMed  Google Scholar 

  8. Yasuda K, Sonoda K, Shiroshita H, Inomata M, Shiraishi N, Kitano S (2004) Laparoscopically assisted distal gastrectomy for early gastric cancer in the elderly. Br J Surg 91: 1061–1065

    Article  CAS  PubMed  Google Scholar 

  9. Tanimura S, Higashino M, Fukunaga Y, Osugi H (2003) Laparoscopic distal gastrectomy with regional lymph node dissection for gastric cancer. Surg Endosc 17: 758–762

    Article  CAS  PubMed  Google Scholar 

  10. Fujii M, Sasaki J, Nakajima T (1999) State of art in the treatment of gastric cancer: from 71st Japanese Gastric Cancer Congress. Gastric Cancer 2: 151–157

    Article  PubMed  Google Scholar 

  11. Nakamura K, Ueyama T, Yao T, Xuan ZX, Ambe K, Adachi Y, Yakeishi Y, Matsukuma A, Enjoji M (1992) Pathology and prognosis of gastric carcinoma: findings of 10,000 patients who underwent primary gastrectomy. Cancer 70: 1030–1037

    Article  CAS  PubMed  Google Scholar 

  12. Adachi Y, Yasuda K, Inomata M, Sato K, Shiraishi N, Kitano S (2000) Pathology and prognosis of gastric carcinoma: well versus poorly differentiated type. Cancer 89: 1418–1424

    Article  CAS  PubMed  Google Scholar 

  13. Adachi Y, Suematsu T, Shiraishi N, Katsuta T, Morimoto A, Kitano S, Akazawa K (1999) Quality of life after laparoscopy-assisted Billroth I gastrectomy. Ann Surg 229: 49–54

    Article  CAS  PubMed  Google Scholar 

  14. Skeel RT (1982) Systemic assessment of the patient with cancer. In: Skeel RT (ed) Manual of Cancer Chemotherapy, 1st ed. Little, Brown, Cleveland, OH, pp 13–21

    Google Scholar 

  15. Shiraishi N, Adachi Y, Kitano S, Bandoh T, Katsuta T, Morimoto A (1999) Indication for and outcome of laparoscopic-assisted Billroth I gastrectomy. Br J Surg 86: 541–544

    Article  CAS  PubMed  Google Scholar 

  16. Ellis H, Moran BJ, Thompson JN, Parker MC, Wilson MS, Menzies D, McGuire A, Lower AM, Hauthom RJ, O’Brien F, Bachan S, Crowe AM (1999) Adhesion-related hospital readmissions after abdominal and pelvic surgery: a retrospective cohort study. Lancet 353: 1476–1480

    Article  CAS  PubMed  Google Scholar 

  17. Fevang BTS, Fevang J, Lie SA, Soreide D, Svanes K, Viste A (2004) Long-term prognosis after operation for adhesive small bowel obstruction. Ann Surg 240: 193–201

    Article  PubMed  Google Scholar 

  18. Miller G, Boman J, Shrier I, Gordon PH (2000) Natural history of patients with adhesive small bowel obstruction. Br J Surg 87: 1240–1247

    Article  CAS  PubMed  Google Scholar 

  19. Kodera Y, Sasako M, Yamamoto S, Sano T, Nashimoto A, Kurita A; Gastric Cancer Surgery Study Group of Japan Clinical Oncology Group (2005) Identification of risk factors for the development of complications following extended and superextended lymphadenectomies for gastric cancer. Br J Surg 92: 1103–1109

    Article  CAS  PubMed  Google Scholar 

  20. Inaba T, Okinaga K, Fukushima R, Iinuma H, Ogihara T, Ogawa F, Iwasaki K, Tanaka M, Yamada H (2004) Prospective randomized study of two laparotomy incisions for gastrectomy: midline incision versus transverse incision. Gastric Cancer 7: 167–171

    Article  PubMed  Google Scholar 

  21. Mochiki E, Kamiyama Y, Aihara R, Nakabayashi T, Asao T, Kuwano H (2005) Laparoscopic assisted distal gastrectomy for early gastric cancer: five years’ experience. Surgery 137: 317–322

    Article  PubMed  Google Scholar 

  22. Gutt CN, Oniu T, Schemmer A, Mehrabi A, Buchler MW (2004) Fewer adhesions induced by laparoscopic surgery? Surg Endosc 18: 898–906

    Article  CAS  PubMed  Google Scholar 

  23. Saba AA, Kaidi AA, Godziachvili V, Dombi GW, Dawe EJ, Libeke JH (1996) Effects of interleukin-6 and its neutralizing antibodies on peritoneal adhesion formation and wound healing. Am Surg 62: 596–572

    Google Scholar 

  24. Fujii K, Sonoda K, Izumi K, Shiraishi N, Adachi Y, Kitano S (2003) T lymphocyte subsets and Th1/Th2 balance after laparoscopy-assisted distal gastrectomy. Surg Endosc 17: 1440–1444

    Article  CAS  PubMed  Google Scholar 

  25. Braga M, Vignali A, Zuliani W, Radaelli G, Gianotti L, Martani C, Toussoun G, Di Carlo V (2002) Metabolic and functional results after laparoscopic colorectal surgery: a randomized, controlled trial. Dis Colon Rectum 45: 1070–1077

    Article  PubMed  Google Scholar 

  26. Leung KL, Lai PBS, Ho RLK, Meng WC, Yiu RY, Lee JF, Law WY (2000) Systemic cytokine response after laparoscopic-assisted resection of rectosigmoid carcinoma: a prospective randomized trial. Ann Surg 231: 506–511

    Article  CAS  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Gastroenterological Surgery, Oita University Faculty of Medicine, 1-1 Idaigaoka, Yufu, Oita, 879-5593, Japan

    K. Yasuda, N. Shiraishi, T. Etoh, A. Shiromizu, M. Inomata & S. Kitano

Authors
  1. K. Yasuda
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. N. Shiraishi
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. T. Etoh
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. A. Shiromizu
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. M. Inomata
    View author publications

    You can also search for this author in PubMed Google Scholar

  6. S. Kitano
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to K. Yasuda.

Additional information

This work was supported in part by a Grant-in-Aid for Scientific Research (No. 15390401) from the Japanese Ministry of Education, Science, and Culture

Rights and permissions

Reprints and permissions

About this article

Cite this article

Yasuda, K., Shiraishi, N., Etoh, T. et al. Long-term quality of life after laparoscopy-assisted distal gastrectomy for gastric cancer. Surg Endosc 21, 2150–2153 (2007). https://doi.org/10.1007/s00464-007-9322-9

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00464-007-9322-9

Keywords

Search

Navigation