A Comparative Analysis of Laparoscopic Gastrectomy Versus Laparoscopic-Assisted Gastrectomy: The Overall and Disease-Free Survival

• Published in: Curēus (Palo Alto, CA) Vol. 16; no. 3; p. e56730
• Main Authors: Calderón-Canseco, Iván Josué, Pérez-Turrent, Manuel A, Ramírez-García, Miguel Ángel, Fernández-Ananín, Sonia, Targarona Soler, Eduardo María, Balagué-Ponz, María
• Format: Journal Article
• Language: English
• Published: United States Cureus Inc 22-03-2024; Cureus
• Subjects: Chemotherapy; Gastric cancer; Gastrointestinal surgery; General Surgery; Laparoscopy; Medical prognosis; Medical research; Mortality; Oncology; Patients; Statistical significance; Surgical techniques; Therapeutics; Spain; laparoscopic gastrectomy; overall survival; disease-free survival; gastric cancer; laparoscopic-assisted gastrectomy
• ISSN: 2168-8184; 2168-8184
• DOI: 10.7759/cureus.56730

Gastric cancer remains a significant global health challenge with varied survival rates, emphasizing the need for research into effective surgical treatments. In this retrospective study, we compared the 72-month overall and disease-free survival between laparoscopic gastrectomy (LG) and laparoscopic-assisted gastrectomy (AG) in a cohort of 139 patients treated for gastric cancer. The analysis revealed that patients undergoing LG exhibited a significantly higher overall survival rate at 72 months compared to those undergoing AG. Although disease-free survival rates were comparable between the two groups, LG showed a marginal advantage. Subgroup analyses based on the type of gastrectomy and anastomosis demonstrated varied survival probabilities, with laparoscopic-assisted partial gastrectomy yielding the most favorable outcomes. These results highlight the importance of the choice of surgical technique in influencing survival outcomes in gastric cancer.