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Safety of Laparoscopic Radical Gastrectomy in Gastric Cancer Patients with End-Stage Renal Disease
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Safety of Laparoscopic Radical Gastrectomy in Gastric Cancer Patients with End-Stage Renal Disease

논문 기본 정보

자료유형
학술저널
저자정보
이하예민 (가톨릭대학교) 박조현 (가톨릭대학교) 박승만 (가톨릭대학교) 김욱 (가톨릭대학교) 진형민 (가톨릭대학교) 김진조 (가톨릭대학교) 송교영 (가톨릭대학교) 김성근 (가톨릭대학교) 전경화 (가톨릭대학교) 김정구 (가톨릭대학교) 이한홍 (가톨릭대학교) 이준현 (가톨릭대학교) 김동진 (가톨릭대학교)
저널정보
대한위암학회 Journal of Gastric Cancer Journal of Gastric Cancer 제18권 제3호 KCI Accredited Journals
발행연도
2018.9
수록면
287 - 295 (9page)
DOI
https://doi.org/10.5230/jgc.2018.18.e31

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Safety of Laparoscopic Radical Gastrectomy in Gastric Cancer Patients with End-Stage Renal Disease
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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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