+ Site Statistics
+ Search Articles
+ PDF Full Text Service
How our service works
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ Translate
+ Recently Requested

Safe implementation of laparoscopic gastrectomy in a community-based general surgery practice



Safe implementation of laparoscopic gastrectomy in a community-based general surgery practice



Surgical Endoscopy 23(2): 356-362



This study reviewed a 3-year experience with the implementation of laparoscopic gastrectomy at a community hospital. A retrospective chart review identified all patients that underwent laparoscopic gastrectomy between January 2004 and March 2007. Patient demographics, tumor characteristics, length of stay, operative time, and short-term outcomes (postoperative complications and death) were examined. A total of 49 patients were identified; 25 (51%) were male. Median age was 68 years (range 31-90 years). Thirty-five (71%) and seven (14%) patients presented with adenocarcinoma and gastrointestinal stromal tumor (GIST), respectively. Median operative time was 169 min (range 23-387 min). Conversion to open laparotomy was necessary in six cases (12%). Median length of stay was 5 days (range 0-48 days). There were four (8.2%) postoperative deaths, and eight major complications, which included: myocardial infarction, pulmonary embolism, duodenal stump leak, bleeding, dehiscence, anastomotic leak, and obstruction. Of patients undergoing laparoscopic gastrectomy with curative intent, 36/38 (95%) underwent R0 resection. Median number of lymph nodes that were pathologically evaluated was 11 (range 1-27). To our knowledge, this is the first study to report on the implementation of laparoscopic gastrectomy in a community hospital setting. Laparoscopic gastrectomy can be performed safely in a community hospital setting with operative times and length of stay that are comparable to open cases. Our short-term outcomes are comparable with existing studies from academic/university centers.

Please choose payment method:






(PDF emailed within 0-6 h: $19.90)

Accession: 055640299

Download citation: RISBibTeXText

PMID: 18461389

DOI: 10.1007/s00464-008-9941-9


Related references

Introducing laparoscopic total gastrectomy for gastric cancer in general practice: a retrospective cohort study based on a nationwide registry database in Japan. Gastric Cancer 22(1): 202-213, 2019

Residual fundus or neofundus after laparoscopic sleeve gastrectomy: is fundectomy safe and effective as revision surgery?. Surgical Endoscopy 29(10): 2899-2903, 2015

Learning curve of laparoscopic surgery for gastric cancer, a laparoscopic distal gastrectomy-based analysis. Surgical Endoscopy 23(6): 1259-1264, 2009

Is nighttime laparoscopic general surgery under general anesthesia safe?. Ulusal Travma Ve Acil Cerrahi Dergisi 24(1): 20-24, 2018

Barretts esophagus histologically regresses following laparoscopic anti-reflux surgery in a community-based GI practice. American Journal of Gastroenterology 95(9): 2426, 2000

Implementation of the national cervical cancer screening in general practice and feasibility of a general practice-based call system: the GP's opinion. Family Practice 10(2): 173-177, 1993

Advanced laparoscopic bariatric surgery Is safe in general surgery training. American Journal of Surgery 213(5): 963-966, 2017

Mixed methods for implementation research: application to evidence-based practice implementation and staff turnover in community-based organizations providing child welfare services. Child Maltreatment 17(1): 67-79, 2012

Rapid and safe learning of robotic gastrectomy for gastric cancer: multidimensional analysis in a comparison with laparoscopic gastrectomy. European Journal of Surgical Oncology 40(10): 1346-1354, 2014

Evidence-based practice implementation in community mental health settings: the relative importance of key domains of implementation activity. Administration and Policy in Mental Health 39(5): 353-364, 2012

Turning medical students on to the fun and excitement of a true, broad-based general surgery practice in the community outside the ivory tower. Surgery (St Louis) 134(3): 418-419, 2003

Laparoscopic re-sleeve gastrectomy for weight regain after modified laparoscopic sleeve gastrectomy: first case report and surgery in South America. Arquivos Brasileiros de Cirurgia Digestiva 29suppl 1(Suppl 1): 135-136, 2016

Laparoscopic Roux-en-Y gastric bypass is as safe as laparoscopic sleeve gastrectomy. Results of a comparative cohort study. Annals of Medicine and Surgery 35: 38-43, 2018

Single-incision Laparoscopic Surgery (SILS) in general surgery: a review of current practice. Surgical Laparoscopy Endoscopy and Percutaneous Techniques 20(4): 191-204, 2010

Laparoscopic Total Gastrectomy in the Western Patient Population: Tips, Techniques, and Evidence-based Practice. Surgical Laparoscopy Endoscopy and Percutaneous Techniques 25(6): 455-461, 2015