Skip to main content
Log in

Comparison of respiratory function recovery in the early phase after laparoscopy-assisted gastrectomy and open gastrectomy

  • Published:
Surgical Endoscopy Aims and scope Submit manuscript

Abstract

Background

Laparoscopic gastrectomy (LAG) is recognized as a less invasive surgery, but no advantage in terms of respiratory function recovery has been demonstrated. We investigated respiratory function recovery in the early period after LAG compared with open gastrectomy (OG) for measuring the recovery of oxygen saturation level (SaO2).

Methods

The study population comprised 454 patients who underwent distal gastrectomy or total gastrectomy for preoperatively diagnosed T1N0 gastric cancer: 192 underwent laparoscopy-assisted distal gastrectomy (LADG), 190 underwent open distal gastrectomy (ODG), 42 underwent laparoscopy-assisted total gastrectomy (LATG), and 30 underwent open total gastrectomy (OTG).

Results

The number of days until SaO2 reached 95% or higher in room air was significantly smaller in the LADG group (1.54 days) than in the ODG group (1.81 days; p = 0.010) and also significantly smaller in the LATG group (1.48 days) than in the OTG group (2.03 days; p = 0.043).

Conclusions

LAG patients recovered their oxygenation earlier than OG patients. The laparoscopic procedure might confer a respiratory benefit for gastrectomy patients.

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

Access this article

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. Ford GT, Rosenal TW, Clergue F, Whitelaw WA (1993) Respiratory physiology in upper abdominal surgery. Clin Chest Med 14:237–252

    CAS  PubMed  Google Scholar 

  2. Desai PM (1999) Pain management and pulmonary dysfunction. Crit Care Clin 15:151–166

    Article  CAS  PubMed  Google Scholar 

  3. 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 

  4. Kawamura H, Okada K, Isizu H, Masuko H, Yamagami H, Honma S, Ueki S, Noguchi K, Kondo Y (2008) Laparoscopic gastrectomy for early gastric cancer targeting as a less invasive procedure. Surg Endosc 22:81–85

    Article  PubMed  Google Scholar 

  5. Shiraishi N, Yasuda K, Kitano S (2006) Laparoscopic gastrectomy with lymph node dissection for gastric cancer. Gastric Cancer 9:167–176

    Article  PubMed  Google Scholar 

  6. Huscher CGS, Mingoli A, Sgarzini G, Sansonetti A, Paola MD, 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  PubMed  Google Scholar 

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

    Article  PubMed  Google Scholar 

  8. Tanimura S, Higashino M, Fukunaga Y, Kishida S, Ogata A, Fujiwara Y, Osugi H (2006) Respiratory function after laparoscopic distal gastrectomy—an index of minimally invasive surgery. World J Surg 30:1211–1215

    Article  PubMed  Google Scholar 

  9. Kawamura H, Homma S, Yokota R, Watarai H, Yokota K, Kondo Y (2009) Assessment of pain by face scales after gastrectomy: comparison of laparoscopically assisted gastrectomy and open gastrectomy. Surg Endosc 23:991–995

    Article  PubMed  Google Scholar 

  10. Stoloff DR, Isenberg RA, Brill AI (2001) Venous air and gas emboli in operative hysteroscopy. J Am Assoc Gynecol Laparosc 8:181–192

    Article  CAS  PubMed  Google Scholar 

  11. Odeberg-Wernerman S (2000) Laparoscopic surgery—effects on circulatory and respiratory physiology: an overview. Eur J Surg 166:4–11

    Google Scholar 

  12. Uen YH, Chen Y, Kuo CY, Wen KC, Koay LB (2007) Randomized trial of low-pressure carbon dioxide-elicited pneumoperitoneum versus abdominal wall lifting for laparoscopic cholecystectomy. J Chin Med Assoc 70:324–330

    Article  PubMed  Google Scholar 

  13. Basse L, Jakobsen DH, Bardram L, Billesbolle P, Lund C, Mogensen T, Rosenberg J, Kehlet H (2005) Functional recovery after open versus laparoscopic colonic resection: a randomized, blinded study. Ann Surg 241:416–423

    Article  PubMed  Google Scholar 

  14. Nguyen NT, Lee SL, Goldman C, Fleming N, Arango A, McFall R, Wolfe BM (2001) Comparison of pulmonary function and postoperative pain after laparoscopic versus open gastric bypass: a randomized trial. J Am Coll Surg 192:469–477

    Article  CAS  PubMed  Google Scholar 

  15. Damiani G, Pinnarelli L, Sammarco A, Sommella L, Francucci M, Ricciardi W (2008) Postoperative pulmonary function in open versus laparoscopic cholecystectomy: a meta-analysis of the Tiffenau index. Dig Surg 25:1–7

    Article  PubMed  Google Scholar 

  16. Katsuya H, Sakanashi Y (1989) Simple and noninvasive indicator of pulmonary gas exchange using pulse oximetry. J Clin Monit 5:82–86

    Article  CAS  PubMed  Google Scholar 

Download references

Disclosures

Drs. Hideki Kawamura, Ryoichi Yokota, Shigenori Homma, and Yukifumi Kondo have no conflicts of interest or financial ties to disclose.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Hideki Kawamura.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Kawamura, H., Yokota, R., Homma, S. et al. Comparison of respiratory function recovery in the early phase after laparoscopy-assisted gastrectomy and open gastrectomy. Surg Endosc 24, 2739–2742 (2010). https://doi.org/10.1007/s00464-010-1037-7

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00464-010-1037-7

Keywords

Navigation