Examinando por Materia "Gastrectomy, Laparoscopic"

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Effectiveness of laparoscopic gastrectomy versus conventional gastrectomy in patients with gastric cancer
(Universidad Privada Norbert Wiener, 2018-11-04) Navarro Ayala, Natali Johana; Pacahuala Palomino, Yhenny Milagros; Calsin Pacompia, Wilmer
Objective: Analyze and systematize the evidence on the effectiveness of laparoscopic gastrectomy versus conventional gastrectomy in patients with gastric cancer. Materials and Methods: The type of research was quantitative, high-quality articles reviewed from systematic reviews and meta-analysis, the population was 25 articles; The sample was 12 scientific articles published and indexed in the scientific database, the database search tool: Scielo Pubmed, Ebsco and World Journal of Gastroenterology. The GRADE method was used for evaluation, which evaluated the quality of evidence and the strength of recommendation. Results: Of the 100%, 32% of studies correspond to Japan, Brazil and the USA, 18% Italy and 50% China, in relation to the type it was 100% quantitative and study designs 41% correspond to meta-analysis, 17 % to systematic review, randomized and retrospective clinical trial and 8% to cohort. Conclusions: 92% of the articles reviewed show the effectiveness of laparoscopic gastrectomy, because it presents less blood loss, fewer complications, shorter hospital stay, fewer post-surgical complications, 8% show that both laparoscopic and conventional gastrectomy are equally effective. Effective, however, laparoscopic gastrectomy cannot be routinely recommended over the conventional technique for the treatment of advanced gastric cancer.