Incidence and risk factors for postsurgical gastroparesis syndrome after laparoscopic and open radical gastrectomy

World Journal of Surgical Oncology

Liesheng Lu¹  Weixing Ding¹  Xun Jiang¹  Donglei Zhou¹  Hongbo Meng¹ 

[1] Department of General Surgery, Tenth People’s Hospital of Tongji University, Shanghai 200072, China

关键词: Psychological factors;    Gastroparesis;    Radical gastrectomy;    Laparoscope;   

Others  :  823780
DOI  :  10.1186/1477-7819-11-144

 received in 2012-12-18, accepted in 2013-06-01,  发布年份 2013

【 摘 要 】

Background

The aim of this study was to investigate the differences and influencing factors for postsurgical gastroparesis syndrome incidence after laparoscopic and open radical gastrectomy.

Methods

Clinical data were collected for 563 patients who underwent open radical gastrectomy for gastric cancer and 72 cases receiving laparoscopic radical gastrectomy. We retrospectively analyzed the incidence of postsurgical gastroparesis syndrome, clinical features, course of disease, and risk factors of these two groups.

Results

There was no statistical difference for the incident rate of postsurgical gastroparesis syndrome between laparoscopic and open radical gastrectomy (6.9% vs. 3.7%, P > 0.05). Preoperative outflow tract obstruction and Billroth II anastomosis were the two risk factors for postsurgical gastroparesis syndrome in the open radical gastrectomy group and the laparoscopic surgery for gastric cancer group. The same results were obtained from logistic regression statistical analysis. Age greater than 70 years was also one of the risk factors for postsurgical gastroparesis syndrome in the open radical gastrectomy group (P < 0.05).

Conclusions

Laparoscopic radical gastrectomy for gastric cancer does not increase the incident rate of postsurgical gastroparesis syndrome.

【 授权许可】

   
2013 Meng et al.; licensee BioMed Central Ltd.

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