The impact of surgical case order on short- and long-term outcomes in patients undergoing laparoscopic gastrectomy: a propensity matched study

被引：0

作者：

Shao, Min ^{[1
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Chen, Jun-Yu ^{[1
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Zhong, Qing ^{[1
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Jiang, Yi-Ming ^{[1
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Qiu, Tao-Yuan ^{[1
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Zheng, Li-Na ^{[1
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Chen, Qi-Yue ^{[1
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Xie, Jian-Wei ^{[1
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Li, Ping ^{[1
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Huang, Chang-Ming ^{[1
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Zheng, Chao-Hui ^{[1
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机构：

[1] Fujian Med Univ, Union Hosp, Dept Gastr Surg, Fuzhou, Peoples R China

[2] Fujian Med Univ, Union Hosp, Dept Gen Surg, Fuzhou, Peoples R China

[3] Fujian Med Univ, Key Lab Minist Educ Gastrointestinal Canc, Fuzhou, Peoples R China

[4] Fujian Med Univ, Fujian Key Lab Tumor Microbiol, Fuzhou, Peoples R China

[5] Fujian Med Univ, Dept Main Operating Theatre, Union Hosp, Fuzhou, Peoples R China

来源：

JOURNAL OF GASTROINTESTINAL SURGERY | 2025年 / 29卷 / 08期

关键词：

Gastric cancer; Laparoscopy; Long-term prognosis; Surgical case order; Surgical outcome; GASTRIC-CANCER; DISTAL GASTRECTOMY; WEEKDAY; MORTALITY; SURGERY; TRIAL; 2D; 3D;

D O I：

10.1016/j.gassur.2025.102081

中图分类号：

R57 [消化系及腹部疾病];

学科分类号：

摘要：

Background: Whether the surgical case order is an important factor affecting the short-and long-term outcomes of patients with gastric cancer (GC) has always been a concern. This study aimed to compare the short-and long-term outcomes of different surgical case orders. Methods: This study included patients who underwent laparoscopy-assisted radical gastrectomy at the Union Hospital of Fujian Medical University between January 2016 and December 2017. Overall, 1235 patients (number 1 group [n = 497], number 2 group [n = 426], and other group [n = 312]) were included in the propensity score matching (PSM; 1:1:1). Results: After PSM, there were no significant differences in clinicopathologic characteristics between the number 1 group, the number 2 group, and the other group. The operative time in the other group was significantly longer than that in number 1 and 2 groups. The volume of blood loss in the number 2 group and the other group was significantly higher than that in the number 1 group. Kaplan-Meier survival analysis revealed similar 5-year overall survival (OS) and disease-free survival (DFS) rates among the 3 groups. Multivariate Cox regression analysis showed that surgical case order was not an independent risk factor for 5-year OS and DFS. Further analysis showed no significant difference in the 5-year OS and DFS among patients with different surgical case orders, regardless of age, pT stage, or range of gastrectomy (P > .05). Conclusion: In high-volume centers, different surgical case orders can only affect operative time and intraoperative bleeding but not short-or long-term outcomes. Surgeons could schedule surgical procedures according to actual clinical needs to improve the quality of medical services. (c) 2025 Society for Surgery of the Alimentary Tract. Published by Elsevier Inc. All rights are reserved, including those for text and data mining, AI training, and similar technologies.

引用

页数：7

共 30 条

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