Mide Kanseri İçin Yapılan Gastrektomide Laparoskopik ve Açık Cerrahinin Erken Sonuçlarının Değerlendirilmesi: Tek Merkez Deneyimi

Abstract

Amaç: Bu çalışmamızın amacı tüm yaş gruplarında ve her iki cinsiyette en sık görülen altıncı kanser olan mide kanserinin, laparoskopik ve açık cerrahi erken sonuçlarının karşılaştırılmasıdır. Gereç ve Yöntemler: Mayıs 2018-Ekim 2021 yılları arasında mide kanseri nedeniyle opere edilen hastalar retrospektif olarak incelendi. Laparoskopik va açık cerrahi yapılan hastaların verileri toplandı ve kısa dönem sonuçları karşılaştırıldı. Normal dağılım belirlemek için Kolmogonov-Smirnov testi, devam eden değerler için ortalama+standart sapma ve medyan(minimum maksimum) kullanıldı. Parametrik ölçümlerde Student-t, non parametrik ölçümlerde mann-whitney-u testi kullanıldı. Katagorik değişkenler için chi-square test kullanıldı. Bulgular: Çalışmaya dahil edilen 140 hastanın sonuçları incelendi. Laparoskopik cerrahide yoğun bakımda kalma süresi daha az ve çıkarılan lenf nodu sayıları daha fazla olarak bulundu. Hastanede yatış süresi ve postoperatif komplikasyonlar benzerdi. Operasyon süresi laparoskopik cerrahilerde daha uzundu. Sonuç: Kısa dönem sonuçlarımızı karşılaştırdığımız bu çalışmanın sonuçlarına bakıldığında, laparoskopik gastrik rezeksiyonun deneyimli cerrahlar tarafından uygun merkezlerde güvenle yapılabileceğini öngörebiliriz. Cerrahi deneyim arttıkça safra kesesi, apendektomi, prostatektomi gibi ameliyatlarda altın standart olan laproskopinin ilerleyen dönemlerde gastrik kanser cerrahisinde de altın standart olabileceği kanaatindeyiz.

Keywords

• Mide kanseri
• laparoskopik cerrahi
• erken dönem sonuç

Evaluation of Preliminary Results Of Laparoscopic and Open Surgery in Gastrectomy For Gastric Cancer: Single-Center Experience

Abstract

Aim: This study aims to compare the early results of laparoscopic and open surgery of gastric cancer, which is the sixth most common cancer in all age groups and both genders. Materials and Methods: Patients who were operated on for gastric cancer between May 2018 and October 2021 were analyzed retrospectively. The data of patients who underwent laparoscopic and open surgery were collected and short-term results were compared. Kolmogorov-Smirnov test was used to determine the normal distribution, mean+standard deviation, and median (minimum-maximum) were used for continuous values. Student-t-test was used for parametric measurements and the Mann-Whitney-u test was used for non-parametric measurements. The chi-square test was used for categorical variables. Results: The results of 140 patients included in the study were analyzed. In laparoscopic surgery, the length of stay in the intensive care unit was shorter and the number of lymph nodes removed was found to be higher. Length of hospital stay and postoperative complications were similar. The operation time was longer in laparoscopic surgeries. Conclusion: Considering the results of this study, in which we compared our short-term results, we can predict that laparoscopic gastric resection can be safely performed by experienced surgeons in appropriate centers. As surgical experience increases, we believe that laparoscopy, which is the gold standard in surgeries such as gallbladder, appendectomy, and prostatectomy, may become the gold standard in gastric cancer surgery in the future.

Keywords

• Gastric cancer
• laparoscopic surgery
• preliminary results

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