Systemic Analysis on Laparoscope-Assisted Gastrectomy for Patients with Gastric Cancer

Abstract

<b>Background:</b> Laparoscope-assisted gastrectomy in treating patients with gastric cancers developed witha background of highly invasive traditional surgery and is being increasingly performed in the Asian Pacificarea. This study systemically investigated the technique and clinical results for comparison with traditionalradical subtotal gastrectomy for gastric cancers. <br/><b>Methods</b>: Clinical studies evaluating the effectiveness andside effects of laparoscope-assisted gastrectomy in treating patients with gastric cancers were identified using apredefined search strategy. Summary rates of effectiveness and side effects of laparoscope-assisted gastrectomywere calculated. <br/><b>Results</b>: Thirteen clinical studies which including 1,412 patients with gastric cancer treated bylaparoscope-assisted gastrectomy were considered eligible for inclusion. Systemic analysis showed that, for allpatients, the pooled resection rate was 100%. Major adverse effects were anastomotic stenosis, abdominal abscess,abdominal bleeding, postoperative ileus. Treatment related death occurred in 0. 71% (10/1412). <br/><b>Conclusion</b>:This systemic analysis suggests that laparoscope-assisted gastrectomy in treating patients with gastric cancersis associated with good curative rate and acceptable complications.