Gastric Cancer (2017) 20:853–860 DOI 10.1007/s10120-017-0695-8 ORIGINAL ARTICLE Safety and feasibility of minimally invasive gastrectomy during the early introduction in the Netherlands: short-term oncological outcomes comparable to open gastrectomy 1 1 2 1 • • • H. J. F. Brenkman J. P. Ruurda R. H. A. Verhoeven R. van Hillegersberg Received: 3 October 2016 / Accepted: 18 January 2017 / Published online: 9 February 2017 The Author(s) 2017. This article is published with open access at Springerlink.com Abstract comparable lymph node yield (OR, 1.01; 95% CI, Background Minimally invasive techniques for gastric 0.75–1.36), R0 resection rate (OR, 0.86; 95% CI, cancer surgery have recently been introduced in the 0.54–1.37), and 1-year overall survival (HR, 0.99; 95% CI, Netherlands, based on a proctoring program. The aim of 0.75–1.32). A pooled learning curve of ten procedures was this population-based cohort study was to evaluate the demonstrated for MIG, after which the conversion rate short-term oncological outcomes of minimally invasive (13%–2%; p = 0.001) and lymph node yield were at a gastrectomy (MIG) during its introduction in the desired level (18–21; p = 0.045). Netherlands. Conclusion With a proctoring program, the introduction of Methods The Netherlands Cancer Registry identiﬁed all minimally invasive
Gastric Cancer – Springer Journals
Published: Feb 9, 2017
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