This comparative study evaluates postoperative recovery in gastric cancer patients, suggesting TLG offers significant advantages over LAG.
Key Points
This research aims to evaluate the benefits of Totally Laparoscopic Gastrectomy (TLG) compared to Laparoscopy-Assisted Gastrectomy (LAG) in gastric cancer treatment.
Compared outcomes of 380 patients with gastric cancer, divided into TLG and LAG groups.
Measured operative time, intraoperative blood loss, postoperative recovery indicators, and complications.
Conducted multivariate logistic regression analysis to identify predictors of hospitalization.
TLG group had significantly shorter operative time (215 vs. 240 minutes, p < 0.001).
Intraoperative blood loss was lower in the TLG group (50 vs. 100 mL, p < 0.001).
Average time to first flatus was shorter in the TLG group (3 vs. 4 days, p < 0.001).
Reduced length of postoperative hospital stay was noted in the TLG group (p < 0.001).
Lower white blood cell counts were observed in the TLG group on POD 1 (mean 11.74 vs. 12.75 x 10^9/L, p = 0.003).