TITLE:
Estimation of Physiologic Ability and Surgical Stress Scoring System Appraises Laparoscopy-Assisted and Open Distal Gastrectomy in Treatment of Early Gastric Cancer
AUTHORS:
Hideki Bou, Hideyuki Suzuki, Kentaro Maejima, Hidetsugu Hanawa, Masanori Watanabe, Eiji Uchida
KEYWORDS:
E-PASS; LADG; ODG
JOURNAL NAME:
Journal of Cancer Therapy,
Vol.4 No.9A,
September
30,
2013
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.