Outcomes After Laparoscopic or Open Distal Gastrectomy for Early-Stage Gastric Cancer

• DOI: 10.1097/sla.0b013e31826fd541
• Publication Date: 2012-09-30T12:14:50Z
• Authors: Hideo Yasunaga; Hiromasa Horiguchi; Kazuaki Kuwabara; Shinya Matsuda; Kiyohide Fushimi; Hideki Hashimoto; John Z. Ayanian
• Keywords: Aged, 80 and over; Male; Length of Stay; Middle Aged; Patient Readmission; 3. Good health; 03 medical and health sciences; Treatment Outcome; 0302 clinical medicine; Gastrectomy; Stomach Neoplasms; Humans; Female; Laparoscopy; Hospital Mortality; Propensity Score; Aged

In Brief Objective: a large nationwide administrative database of hospitalized patients, we investigated postoperative outcomes after laparoscopic or open distal gastrectomy in Japan. Background: The benefits gastrectomy, such as decreased length stay and morbidity, have typically been evaluated only with limited data on the basis small samples. Methods: Using Japanese Diagnosis Procedure Combination Database, identified 9388 patients who were preoperatively diagnosed stage I II gastric cancer underwent (n = 3937) 5451) between July December 2010. One-to-one propensity score matching was performed to compare in-hospital mortality, complication rates, stay, total costs, 30-day readmission rates 2 groups. Results: Patients younger age, lower comorbidity index, more likely receive gastrectomy. propensity-matched analysis 2473 pairs, group comparison showed slight reduction median (13 days vs 15 days, P < 0.001) but increase costs (US $21,510 $21,024, 0.002). There no significant differences mortality (0.36% 0.28%, 0.80), overall complications (12.9% 12.6%, 0.73), (3.2% 3.2%, 0.94). Conclusions: this cohort early-stage cancer, associated statistically detected terms early morbidity. national inpatient Japan, conducted pairs cancer. readmissions.