Systematic review and meta-analysis of totally laparoscopic versus laparoscopic assisted distal gastrectomy for XXXX .

@entity1 @entity190 @entity260 @entity18110 @entity356
BACKGROUND: Totally laparoscopic distal gastrectomy (TLDG) has been developed in the hope of improving surgical quality and overcoming the limitations of conventional laparoscopic assisted distal gastrectomy (LADG) for @entity356 . The aim of this study was to determine the extent of evidence in support of these ideals. METHODS: A systematic review of the two operation types (LADG and TLDG) was carried out to evaluate short-term outcomes including duration of operation, retrieved lymph nodes, estimated @entity190 , resection margin status, technical @entity260 , and hospital stay. RESULTS: Twelve non-randomized observational clinical studies involving 2,255 @entity1 satisfied the eligibility criteria. Operative time was not statistically different between groups (P > 0.05). The number of retrieved lymph nodes and the resection margin length in TLDG were comparable with those in LADG. Estimated @entity190 was significantly less in TLDG than that in @entity18110 (P < 0.01). Compared to LADG, TLDG also involved lesser postoperative hospital stay (P < 0.01) and earlier time to soft diet intake (P < 0.05). Time to flatus and @entity260 were similar for those two operative approaches. CONCLUSIONS: TLDG may be a technically safe, feasible, and favorable approach in terms of better cosmesis, less @entity190 , and faster recovery compared with LADG.
