Survival benefits of additional surgery after non-curative endoscopic resection in patients with early gastric cancer: a meta-analysis

被引：16
作者：
Li, Debang [1 ]
Luan, Haixin [2 ]
Wang, Shijie [2 ]
Zhou, Yanming [2 ]
机构：
[1] Lanzhou Univ, Hosp 1, Dept Gen Surg 3, Lanzhou, Gansu, Peoples R China
[2] Xiamen Univ, Affiliated Hosp 1, Dept Hepatobiliary & Pancreatovasc Surg, 55 Zhenhai Rd, Xiamen 361003, Fujian, Peoples R China
来源：
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES | 2019年 / 33卷 / 03期
关键词：
Endoscopic sub-mucosal dissection; Early gastric cancer; Non-curative resection; Additional surgery; Long-term outcomes; LYMPH-NODE METASTASIS; LONG-TERM OUTCOMES; SUBMUCOSAL DISSECTION; CLINICAL-OUTCOMES;
D O I：
10.1007/s00464-018-6570-9
中图分类号：
R61 [外科手术学];
学科分类号：
摘要：
BackgroundThe survival benefit of additional surgery after non-curative endoscopic resection of early gastric cancer is a matter of debate. This meta-analysis is intended to draw a convincing conclusion on this issue based on data currently available.MethodsA systematic review of PubMed/Medline database was performed from 2010 to 2018 for studies comparing survival outcomes of additional surgery versus simple follow-up after non-curative endoscopic resection for early gastric cancer. Differences between groups were calculated using either the fixed effects model or random effects model.ResultsTen retrospective studies with 4225 patients met the inclusion criteria. Additional surgery significantly provided better 5years overall survival [odds ratios (OR) 3.50, 95% confidence interval (95% CI) 2.89-4.24] and disease-specific survival (OR 3.99, 95% CI 2.50-6.36).ConclusionsAdditional surgery offers survival benefits to patients undergoing non-curative endoscopic resection of early gastric cancer.
引用
收藏
页码：711 / 716
页数：6
相关论文
共 20 条
[1]   Multicenter study of the long-term outcomes of endoscopic submucosal dissection for early gastric cancer in patients 80 years of age or older [J].
Abe, Nobutsugu ;
Gotoda, Takuji ;
Hirasawa, Toshiaki ;
Hoteya, Shu ;
Ishido, Kenji ;
Ida, Yosuke ;
Imaeda, Hiroyuki ;
Ishii, Eiji ;
Kokawa, Atsushi ;
Kusano, Chika ;
Maehata, Tadateru ;
Ono, Satoshi ;
Takeuchi, Hirohisa ;
Sugiyama, Masanori ;
Takahashi, Shinichi .
GASTRIC CANCER, 2012, 15 (01) :70-75
[2]   Survival benefit of additional surgery after noncurative endoscopic resection in patients with early gastric cancer [J].
Eom, Bang Wool ;
Kim, Young-Il ;
Kim, Kwang Hee ;
Yoon, Hong Man ;
Cho, Soo-Jeong ;
Lee, Jong Yeul ;
Kim, Chan Gyoo ;
Kook, Myeong-Cherl ;
Kim, Young-Woo ;
Nam, Byung-Ho ;
Ryu, Keun Won ;
Choi, Il Ju .
GASTROINTESTINAL ENDOSCOPY, 2017, 85 (01) :155-+
[3]   Long-term prognosis of expanded-indication differentiated-type early gastric cancer treated with endoscopic submucosal dissection or surgery using propensity score analysis [J].
Fukunaga, Shusei ;
Nagami, Yasuaki ;
Shiba, Masatsugu ;
Ominami, Masaki ;
Tanigawa, Tetsuya ;
Yamagami, Hirokazu ;
Tanaka, Hiroaki ;
Muguruma, Kazuya ;
Watanabe, Toshio ;
Tominaga, Kazunari ;
Fujiwara, Yasuhiro ;
Ohira, Masaichi ;
Hirakawa, Kosei ;
Arakawa, Tetsuo .
GASTROINTESTINAL ENDOSCOPY, 2017, 85 (01) :143-152
[4]   Is the eCura system useful for selecting patients who require radical surgery after noncurative endoscopic submucosal dissection for early gastric cancer? A comparative study [J].
Hatta, Waku ;
Gotoda, Takuji ;
Oyama, Tsuneo ;
Kawata, Noboru ;
Takahashi, Akiko ;
Yoshifuku, Yoshikazu ;
Hoteya, Shu ;
Nakagawa, Masahiro ;
Hirano, Masaaki ;
Esaki, Mitsuru ;
Matsuda, Mitsuru ;
Ohnita, Ken ;
Yamanouchi, Kohei ;
Yoshida, Motoyuki ;
Dohi, Osamu ;
Takada, Jun ;
Tanaka, Keiko ;
Yamada, Shinya ;
Tsuji, Tsuyotoshi ;
Ito, Hirotaka ;
Hayashi, Yoshiaki ;
Nakamura, Tomohiro ;
Nakaya, Naoki ;
Shimosegawa, Tooru .
GASTRIC CANCER, 2018, 21 (03) :481-489
[5]   A Scoring System to Stratify Curability after Endoscopic Submucosal Dissection for Early Gastric Cancer: "eCura system" [J].
Hatta, Waku ;
Gotoda, Takuji ;
Oyama, Tsuneo ;
Kawata, Noboru ;
Takahashi, Akiko ;
Yoshifuku, Yoshikazu ;
Hoteya, Shu ;
Nakagawa, Masahiro ;
Hirano, Masaaki ;
Esaki, Mitsuru ;
Matsuda, Mitsuru ;
Ohnita, Ken ;
Yamanouchi, Kohei ;
Yoshida, Motoyuki ;
Dohi, Osamu ;
Takada, Jun ;
Tanaka, Keiko ;
Yamada, Shinya ;
Tsuji, Tsuyotoshi ;
Ito, Hirotaka ;
Hayashi, Yoshiaki ;
Nakaya, Naoki ;
Nakamura, Tomohiro ;
Shimosegawa, Tooru .
AMERICAN JOURNAL OF GASTROENTEROLOGY, 2017, 112 (06) :874-881
[6]   Clinicopathological Outcomes of Patients with Early Gastric Cancer after Non-Curative Endoscopic Submucosal Dissection [J].
Hoteya, Shu ;
Iizuka, Toshiro ;
Kikuchi, Daisuke ;
Ogawa, Osamu ;
Mitani, Toshifumi ;
Matsui, Akira ;
Furuhata, Tsukasa ;
Yamashita, Satoshi ;
Yamada, Akihiro ;
Kaise, Mitsuru .
DIGESTION, 2016, 93 (01) :53-58
[7]   Japanese gastric cancer treatment guidelines 2010 (ver. 3) [J].
Sano T. ;
Kodera Y. .
GASTRIC CANCER, 2011, 14 (02) :113-123
[8]   Risk factors for lymph node metastasis and long-term outcomes of patients with early gastric cancer after non-curative endoscopic submucosal dissection [J].
Kawata, Noboru ;
Kakushima, Naomi ;
Takizawa, Kohei ;
Tanaka, Masaki ;
Makuuchi, Rie ;
Tokunaga, Masanori ;
Tanizawa, Yutaka ;
Bando, Etsuro ;
Kawamura, Taiichi ;
Sugino, Takashi ;
Kusafuka, Kimihide ;
Shimoda, Tadakazu ;
Nakajima, Takashi ;
Terashima, Masanori ;
Ono, Hiroyuki .
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES, 2017, 31 (04) :1607-1616
[9]   Effect of rescue surgery after non-curative endoscopic resection of early gastric cancer [J].
Kim, E. R. ;
Lee, H. ;
Min, B. -H. ;
Lee, J. H. ;
Rhee, P. -L. ;
Kim, J. J. ;
Kim, K. -M. ;
Kim, S. .
BRITISH JOURNAL OF SURGERY, 2015, 102 (11) :1394-1401
[10]   Should Elderly Patients Undergo Additional Surgery After Non-Curative Endoscopic Resection for Early Gastric Cancer? Long-Term Comparative Outcomes [J].
Kusano, Chika ;
Iwasaki, Motoki ;
Kaltenbach, Tonya ;
Conlin, Abby ;
Oda, Ichiro ;
Gotoda, Takuji .
AMERICAN JOURNAL OF GASTROENTEROLOGY, 2011, 106 (06) :1064-1069
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