[Comparison of Early Clinical Outcomes between Laparoscopic Total Gastrectomy and Open Total Gastrectomy for Early-Stage XXXX ].

@entity1 @entity190 @entity356 @entity6769
BACKGROUND/AIMS: Recently, laparoscopic distal gastrectomy has become one of the standard therapies for early @entity356 . However, there are still some obstacles in performing laparoscopic total gastrectomy( @entity6769 )as a standard therapy due to the difficulties in surgical techniques. We have performed @entity6769 for @entity1 with early @entity356 in the upper portion of the stomach since 2010. In this study, we compared early clinical outcomes of @entity6769 with those of open total gastrectomy (OTG)for @entity1 with cT1N0 @entity356 . METHODOLOGY: We reviewed 69 @entity1 who had @entity356 of cStage IA between January 2010 and December 2013. We performed a comparative study of short-term clinical outcomes, quantity of dissected lymph nodes, and in-hospital costs between @entity1 undergoing @entity6769 (n=34)and those undergoing OTG(n=35). RESULTS: The clinical characteristics of @entity1 were well matched in the @entity6769 and OTG groups. The median operating time was significantly longer for the @entity6769 group(p<.0001). The estimated @entity190 was significantly reduced in the @entity6769 group(p< 0.0001). The postoperative morbidity rate was 14.7% in the @entity6769 group and 14.2% in the OTG group with no significant difference. There were no differences in the total cost for hospital stay between the @entity6769 and OTG groups. CONCLUSIONS: We were able to perform @entity6769 safely and successfully for early @entity356 in our institute. The total cost of the treatment was almost the same between @entity6769 and OTG. We conclude that @entity6769 is a potential alternative in the management of early @entity356 .
