Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Multicenter Study
. 2023 Feb;75(2):429-434.
doi: 10.1007/s13304-022-01328-z. Epub 2022 Jul 26.

Relaparoscopy in the management of post-operative complications after minimally invasive gastrectomy for gastric cancer

Ugo Elmore  1 , Marco Milone  2 , Paolo Parise  1 , Nunzio Velotti  3 , Andrea Cossu  1 , Francesco Puccetti  1 , Lavinia Barbieri  1 , Sara Vertaldi  4 , Francesco Milone  3 , Giovanni Domenico De Palma  4 , Riccardo Rosati  1
Affiliations
Multicenter Study

Relaparoscopy in the management of post-operative complications after minimally invasive gastrectomy for gastric cancer

Ugo Elmore et al. Updates Surg. 2023 Feb.

Abstract

Laparoscopy has already been validated for treatment of early gastric cancer. Despite that, no data have been published about the possibility of a minimally invasive approach to surgical complications after primary laparoscopic surgery. In this multicentre study, we describe our experience in the management of complications following laparoscopic gastrectomy for gastric cancer. A chart review has been performed over data from 781 patients who underwent elective gastrectomy for gastric cancer between January 1996 and July 2020 in two high referral department of gastric surgery. A fully descriptive analysis was performed, considering all the demographic characteristics of patients, the type of primary procedure and the type of complication which required reoperation. Moreover, a logistic regression was designed to investigate if either the patients or the primary surgery characteristics could affect conversion rate during relaparoscopy. Fifty-one patients underwent reintervention after elective laparoscopic gastric surgery. Among patients who received a laparoscopic reintervention, 11 patients (34.3%) required a conversion to open surgery. Recovery outcomes were significantly better in patients who completed the reoperation through laparoscopy. Relaparoscopy is safe and effective for management of complications following laparoscopic gastric surgery and represent a useful tool both for re-exploration and treatment, in expert and skilled hands.

Keywords: Gastric cancer; Minimally invasive surgery; Relaparoscopy.

PubMed Disclaimer

Conflict of interest statement

None for all authors.

Figures

Fig. 1
Fig. 1
BMI distribution among patients who received reintervention with a totally laparoscopic approach and patients who required conversion to open surgery
Fig. 2
Fig. 2
Previous abdominal surgery rate between patients who received reintervention with a totally laparoscopic approach and patients who required conversion to open surgery
See this image and copyright information in PMC

References

    1. Huang L, Li TJ. Laparoscopic surgery for gastric cancer: where are we now and where are we going? Expert Rev Anticancer Ther. 2018;18(11):1145–1157. doi: 10.1080/14737140.2018.1520098. - DOI - PubMed
    1. Li HJ, Huang L, Li TJ, et al. Short-term outcomes of single-incision versus conventional laparoscopic surgery for colorectal diseases: meta-analysis of randomized and prospective evidence. J Gastrointest Surg. 2017;21(11):1931–1945. doi: 10.1007/s11605-017-3520-0. - DOI - PubMed
    1. Park YK, Yoon HM, Kim YW, Park JY, Ryu KW, Lee YJ, Jeong O, Yoon KY, Lee JH, Lee SE, Yu W, Jeong SH, Kim T, Kim S, Nam BH, COACT group, Laparoscopy-assisted versus Open D2 distal gastrectomy for advanced gastric cancer: results from a randomized phase II multicenter clinical trial (COACT 1001) Ann Surg. 2018;267(4):638–645. doi: 10.1097/SLA.0000000000002168. - DOI - PubMed
    1. Clavien PA, Barkun J, de Oliveira ML, et al. The Clavien-Dindo classification of surgical complications: five-year experience. Ann Surg. 2009;250:187–196. doi: 10.1097/SLA.0b013e3181b13ca2. - DOI - PubMed
    1. Kitano S, Iso Y, Moriyama M, Sugimachi K. Laparoscopy-assisted Billroth I gastrectomy. Surg Laparosc Endosc. 2013;4(2):146–148. - PubMed

Publication types