Major early complications following open, laparoscopic and robotic gastrectomy

K. M. Kim, J. Y. An, H. I. Kim, J. H. Cheong, W. J. Hyung, S. H. Noh

Research output: Contribution to journalArticle

76 Citations (Scopus)

Abstract

Background: Laparoscopic and robotic gastrectomy have been adopted rapidly despite lack of evidence concerning technical safety and controversy regarding additional benefits. This study aimed to compare clinically relevant complications after open, laparoscopic and robotic gastrectomy. Methods: This was a retrospective analysis of prospectively collected data on surgical complications in patients undergoing gastrectomy with curative intent for histologically proven adenocarcinoma between 2005 and 2010 at the Department of Surgery, Yonsei University College of Medicine in Seoul, Korea. Complications were categorized into wound infection, bleeding, anastomotic leak, obstruction, fluid collection and other. Results: In a total of 5839 patients (4542 open, 861 laparoscopic and 436 robotic gastrectomies), overall complication, reoperation and mortality rates were 10·5, 1·0 and 0·4 per cent respectively. There were no significant differences between the three groups. Ileus (P = 0·001) and intra-abdominal fluid collections (P = 0·013) were commoner after conventional open surgery. However, tumour stage was higher and more complex resections were performed in the open group. Anastomotic leak, the leading cause of death, occurred more often after a minimally invasive approach (P = 0·017). Conclusion: Laparoscopic and robotic gastrectomy had overall complication and mortality rates similar to those of open surgery, but anastomotic leaks were more common with the minimally invasive techniques.

Original languageEnglish
Pages (from-to)1681-1687
Number of pages7
JournalBritish Journal of Surgery
Volume99
Issue number12
DOIs
Publication statusPublished - 2012 Dec 1

Fingerprint

Robotics
Gastrectomy
Anastomotic Leak
Mortality
Ileus
Wound Infection
Korea
Reoperation
Cause of Death
Adenocarcinoma
Medicine
Hemorrhage
Safety
Neoplasms

All Science Journal Classification (ASJC) codes

  • Surgery

Cite this

Kim, K. M. ; An, J. Y. ; Kim, H. I. ; Cheong, J. H. ; Hyung, W. J. ; Noh, S. H. / Major early complications following open, laparoscopic and robotic gastrectomy. In: British Journal of Surgery. 2012 ; Vol. 99, No. 12. pp. 1681-1687.
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Major early complications following open, laparoscopic and robotic gastrectomy. / Kim, K. M.; An, J. Y.; Kim, H. I.; Cheong, J. H.; Hyung, W. J.; Noh, S. H.

In: British Journal of Surgery, Vol. 99, No. 12, 01.12.2012, p. 1681-1687.

Research output: Contribution to journalArticle

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