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Estimation of Physiologic Ability and Surgical Stress Scoring System Appraises Laparoscopy-Assisted and Open Distal Gastrectomy in Treatment of Early Gastric Cancer

DOI: 10.4236/jct.2013.49A1001    2,579 Downloads   3,940 Views  

ABSTRACT

Laparoscopy-assisted distal gastrectomy (LADG) has been widely used to treat early gastric cancer (EGC). The Estimation of Physiologic Ability and Surgical Stress (E-PASS) scoring system predicts the risk of fatal postoperative complications by quantifying the patient’s reserve and degree of surgical stress, but there have been a few reports of use of the E-PASS scoring system to assess the risk of mortality following special types of surgical procedures such as LADG. In this study we assessed the feasibility of LADG versus open distal gastrectomy (ODG) by the E-PASS scoring system. The subjects of this study consisted of 69 stage IA gastric cancer patients who underwent LADG (LADG group) and 69 stage IA gastric cancer patients who underwent ODG (ODG group). The mean age of the patients in the LADG group was 68.6 years, which was significantly higher than the mean age of 63.4 years in the ODG group. There were no statistically significant differences between the groups in operation time or preoperative risk score, but there were statistically significant differences in blood loss, surgical stress score, comprehensive risk score, and duration of postoperative hospital stay. We conclude that using the E-PASS scoring system, LADG appreciates a more beneficial procedure for the treatment of EGC than ODG.

Conflicts of Interest

The authors declare no conflicts of interest.

Cite this paper

H. Bou, H. Suzuki, K. Maejima, H. Hanawa, M. Watanabe and E. Uchida, "Estimation of Physiologic Ability and Surgical Stress Scoring System Appraises Laparoscopy-Assisted and Open Distal Gastrectomy in Treatment of Early Gastric Cancer," Journal of Cancer Therapy, Vol. 4 No. 9A, 2013, pp. 1-5. doi: 10.4236/jct.2013.49A1001.

References

[1] S. Kitano, N. Shiraishi, I. Uyama, K. Sugihara, N. Tanigawa and Japanese Laparoscopic Surgery Study Group, “A Multicenter Study on Oncologic Outcome of Laparoscopic Gastrectomy for Early Cancer in Japan,” Annals of Surgery, Vol. 245, No. 1, 2007, pp. 68-72. http://dx.doi.org/10.1097/ 01.sla.0000225364.03133.f8
[2] H. Yano, et al., “The Usefulness of Laparoscopy-Assisted Distal Gastrectomy in Comparison with That of Open Distal Gastrectomy for Early Gastric Cancer,” Gastric Cancer, Vol. 4, No. 2, 2001, pp. 93-97. http://dx.doi.org/10.1007/PL00011730
[3] C. G. Huscher, et al., “Laparoscopic versus Open Subtotal Gastrectomy for Distal Gastric Cancer: Five-Year Results of a Randomized Prospective Trial,” Annals of Surgery, Vol. 241, No. 2, 2001, pp. 232-237. http://dx.doi.org/10.1097/01.sla.0000151892.35922.f2
[4] S. Kitano, et al., “A Randomized Controlled Trial Comparing Open vs Laparoscopy-Assisted Distal Gastrectomy for the Treatment of Early Gastric Cancer: An Interim Report,” Surgery, Vol. 131, Supplement 1, 2002, pp. S306-S311. http://dx.doi.org/10.1067/msy.2002.120115
[5] K. J. Weber, Reyes CD, Gagner M, Divino CM, “Comparison of Laparoscopic and Open Gastrectomy for Malignant Disease,” Surgical Endoscopy, Vol. 17, No. 6, 2003, pp. 968-971. http://dx.doi.org/ 10.1007/s00464-002-8738-5
[6] K. Yasuda, et al., “Rate of Detection of Lymph Node Metastasis Is Correlated with the Depth of Submucosal Invasion in Early Stage Gastric Carcinoma,” Cancer, Vol. 85, No. 10, 1999, pp. 2119-2123. http://dx.doi.org/10.1002/(SICI)1097-0142(19990515)85:10<2119::AID-CNCR4>3.0.CO;2-M
[7] S. Miura, et al., “Laparoscopy-Assisted Distal Gastrectomy with Systemic Lymph Node Dissection: A Critical Reappraisal from the Viewpoint of Lymph Node Retrieval,” Journal of the American College of Surgeons, Vol. 198, No. 6, 2004, pp. 933-938. http://dx.doi.org/10.1016/j.jamcollsurg.2004.01.021
[8] M. Fujiwara, et al., “Laparoscopy-Assisted Distal Gastrectomy with Systemic Lymph Node Dissection for Early Gastric Carcinoma: A Review of 43 Cases,” Journal of the American College of Surgeons Vol. 196, No. 1, 2003, pp. 75-81. http://dx.doi.org/10.1016/S1072-7515(02)01539-9
[9] K. Fujii, et al., “T Lymphocyte Subsets and Th1/Th2 Balance after Laparoscopy-Assisted Distal Gastrectomy,” Surg Endosc, Vol. 17, No. 9, 2003, pp. 1440-1444. http://dx.doi.org/10.1007/s00464-002-9149-3
[10] Y. Haga, et al., “Estimation of Physiologic Ability and Surgical Stress (E-PASS) for a Surgical Audit in Elective Digestive Surgery,” Surgery, Vol. 135, No. 6, 2004, pp. 586-594. http://dx.doi.org/10.1016/ j.surg.2003.11.012
[11] D. Hashimoto, et al., “Can the Physiologic Ability and Surgical Stress (E-PASS) Scoring System Predict Operative Morbidity after Distal Pancreatectomy?” Surgery Today, Vol. 40, No. 7, 2004, pp. 632-637. http://dx.doi.org/10.1007/s00595-009-4112-8
[12] Y. Haga, K. Ikejiri, H. Takeuchi, M. Ikenaga and Y. Wada, “Value of General Surgical Risk Models for Predicting Postoperative Liver Failure and Mortality Following Liver Surgery,” Journal of Surgical Oncology, Vol. 106, No. 7, 2012, pp. 898-904. http://dx.doi.org/10.1002/jso.23160
[13] A. Kotera, Y. Haga, J. Kei, M. Okamoto and K. Seo, “Evaluation of Estimation of Physiologic Ability and Surgical Stress to Predict In-Hospital Mortality in Cardiac Surgery,” Journal of Anesthesia, Vol. 25, No. 4, 2011, pp. 481-491. http://dx.doi.org/10.1007/s00540-011-1162-z
[14] V. M. Banz, P. Studer, D. Inderbitzin and D. Candinas, “Validation of the Estimation of Physiologic Ability and Surgical Stress (E-PASS) Score in Liver Surgery,” World Journal of Surgery, Vol. 33, No. 6, 2009, pp. 1259-1265. http://dx.doi.org/10.1007/s00268-009-9989-2
[15] Y. Oka, et al., “Usefulness of an Estimation of Physiologic Ability and Surgical Stress (E-PASS) Scoring System to Predict the Incidence of Postoperative Complications in Gastrointestinal Surgery,” World Journal of Surgery, Vol. 29, No. 8, 2005, pp. 1029-1033. http://dx.doi.org/10.1007/s00268-005-7719-y
[16] T. Tang, et al., “Estimation of Physiologic Ability and Surgical Stress (E-PASS) as a Predictor of Immediate Outcome after Elective Abdominal Aortic Aneurysm Surgery,” The American Journal of Surgery, Vol. 194, No. 2, 2007, pp. 176-182. http://dx.doi.org/10.1016/j.amjsurg.2006.10.032
[17] J. Hirose, H. Mizuta, J. Ide and K. Nomura, “Evaluation of Estimation of Physiologic Ability and Surgical Stress (E-PASS) to Predict the Postoperative Risk for Hip Fracture in Elder Patients,” Archives of Orthopaedic and Trauma Surgery, Vol. 128, No. 12, 2008, pp. 1447-1452. http://dx.doi.org/10.1007/ s00402-007-0551-0
[18] K. Koushi, et al., “Using the E-PASS Scoring System to Estimate the Risk of Emergency Abdominal Surgery in Patients with Acute Gastrointestinal Disease,” Surg Today, Vol. 41, No. 11, 2011, pp. 1481-1485. http://dx.doi.org/10.1007/s00595-010-4538-z

  
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