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The pattern of postoperative quality of life following minimally invasive gastrectomy for gastric cancer: a prospective cohort from Korean multicenter robotic gastrectomy trial

Annals of Surgical Treatment and Research 2020년 99권 5호 p.275 ~ 284
최종호, 한상욱, 양한광, 김영우, 류근원, 박중민, 안지영, 김민찬, 박성수, 송교영, 오성진, 공성호, 서병조, 양대현, 하태경, 김형일, 형우진, 이혁준,
소속 상세정보
최종호 ( Choi Jong-Ho ) - Seoul National University College of Medicine Department of Surgery
한상욱 ( Han Sang-Uk ) - Ajou University School of Medicine Department of Surgery
양한광 ( Yang Han-Kwang ) - Seoul National University College of Medicine Department of Surgery
김영우 ( Kim Young-Woo ) - National Cancer Center Center for Gastric Cancer
류근원 ( Ryu Keun-Won ) - National Cancer Center Center for Gastric Cancer
박중민 ( Park Joong-Min ) - Chung-Ang University College of Medicine Department of Surgery
안지영 ( An Ji-Yeong ) - Yonsei University College of Medicine Department of Surgery
김민찬 ( Kim Min-Chan ) - Dong-A University College of Medicine Department of Surgery
박성수 ( Park Sung-Soo ) - Korea University College of Medicine Department of Surgery
송교영 ( Song Kyo-Young ) - Catholic University College of Medicine Department of Surgery
오성진 ( Oh Sung-Jin ) - Inje University College of Medicine Department of Surgery
공성호 ( Kong Seong-Ho ) - Seoul National University College of Medicine Department of Surgery
서병조 ( Suh Byoung-Jo ) - Inje University College of Medicine Department of Surgery
양대현 ( Yang Dae-Hyun ) - Hallym University College of Medicine Department of Surgery
하태경 ( Ha Tae-Kyung ) - Hanyang University College of Medicine Department of Surgery
김형일 ( Kim Hyoung-Il ) - Yonsei University College of Medicine Department of Surgery
형우진 ( Hyung Woo-Jin ) - Yonsei University College of Medicine Department of Surgery
이혁준 ( Lee Hyuk-Joon ) - Seoul National University College of Medicine Department of Surgery

Abstract


Purpose: Quality of life (QOL) has become important in the trend of emphasizing patient satisfaction. This study aimed to evaluate the QOL in patients who underwent laparoscopic or robotic gastrectomy for gastric cancer.

Methods: A prospective trial was performed involving patients who underwent laparoscopic or robotic gastrectomy for primary gastric cancer at 11 hospitals in Korea. Within this comparative trial, QOL, postoperative pain, and long-term complications were exanimated. The quality-of-life questionnaire (QLQ)-C30 and QLQ-STO22 developed by the European Organization for Research and Treatment of Cancer were used for the QOL survey. We compared the data after dividing it into several types of characteristics as follows; device (robotic or laparoscopic), operation type, pathological stage, and sex. Biased components were extracted by logistic regression analysis. Propensity score matching was applied to the data set with the biased components.

Results: In total, 434 patients (211 for laparoscopic surgery and 223 for robotic surgery) were enrolled, out of which 321 patients who responded to both preoperative and postoperative surveys were selected for analysis. Robotic gastrectomy was not different from laparoscopic gastrectomy with respect to postoperative QOL. Distal gastrectomy showed better scores than total gastrectomy in terms of role functioning, social functioning, fatigue, nausea/vomiting, pain, dyspnea, constipation, financial difficulties, dysphagia, eating restrictions, anxiety, taste, and body image. Male patients showed better scores on the 19 scales compared to female patients.

Conclusion: Robotic and laparoscopic approaches for gastric cancer surgery did not differ from each other with respect to QOL. Distal gastrectomy resulted in better QOL than total gastrectomy.

키워드

Gastrectomy; Quality of life; Stomach neoplasms

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