Keywords
How to Cite
Abstract
Introduction: Gastrectomy is a surgical procedure that involves partial or total removal of the stomach. This surgery is generally performed to treat conditions that affect the stomach, such as gastric cancer, severe peptic ulcers, large or multiple gastric polyps, and other benign or malignant diseases that do not respond to less invasive treatments. Thus, the choice between total and partial gastrectomy depends on multiple factors, such as the location and extent of the disease, the patient's general condition and therapeutic objectives. Objective: To analyze and compare total and partial gastrectomy techniques, highlighting the results and clinical outcomes associated with each procedure. Methodology: The Medline, Scielo and Pubmed databases were used, searching for articles published between 2017 and 2023, in Portuguese or English. Final Considerations: Total gastrectomy is recommended for cases where the disease has spread widely, while partial gastrectomy is suitable for more restricted conditions. These procedures have different impacts on patients’ recovery and quality of life. Therefore, the choice between techniques must be personalized, taking into account the specificity of the disease and the patient's general condition.
References
GAMBA, F. P. et al. Impact of Roux-en-Y Gastric Bypass and Vertical Gastrectomy on weight loss: a retrospective and longitudinal study in the State of Paraná, Brazil. Revista do Colégio Brasileiro de Cirurgiões, v. 50, p. e20233431, 6 fev. 2023.
HEDBERG, S. et al. Comparison of Sleeve Gastrectomy vs Roux-en-Y Gastric Bypass: A Randomized Clinical Trial. JAMA Network Open, v. 7, n. 1, p. e2353141, 30 jan. 2024.
HIROKI YAMAUE et al. Short-term Outcomes of Robotic Gastrectomy vs Laparoscopic Gastrectomy for Patients With Gastric Cancer. v. 156, n. 10, p. 954–954, 1 out. 2021.
HUANG, C. et al. Laparoscopic vs Open Distal Gastrectomy for Locally Advanced Gastric Cancer. JAMA Surgery, v. 157, n. 1, p. 9, 1 jan. 2022.
JIA, Z. et al. Intraoperative performance and outcomes of robotic and laparoscopic total gastrectomy for gastric cancer: A high-volume center retrospective propensity score matching study. Cancer Med, p. 10485–10498, 2023.
JIAN, C. et al. Robot-assisted laparoscopic combined with endoscopic partial gastrectomy (RALE-PG) for the treatment of gastric gastrointestinal stromal tumors in challenging anatomical locations: single-center experience. Front Surg, p. 1391387–1391387, 2024.
KIM, H.-H. et al. Effect of Laparoscopic Distal Gastrectomy vs Open Distal Gastrectomy on Long-term Survival Among Patients With Stage I Gastric Cancer. JAMA Oncology, v. 5, n. 4, p. 506, 1 abr. 2019.
LIU, Z. et al. Distal gastrectomy versus total gastrectomy for distal gastric cancer. Medicine, v. 96, n. 5, p. e6003, fev. 2017.
PARK, D. J. et al. Effect of Laparoscopic Proximal Gastrectomy With Double-Tract Reconstruction vs Total Gastrectomy on Hemoglobin Level and Vitamin B12 Supplementation in Upper-Third Early Gastric Cancer: A Randomized Clinical Trial. JAMA network open, v. 6, n. 2, p. e2256004, 1 fev. 2023.
TIAN, Y.-L. et al. Short- and long-term outcomes associated with enhanced recovery after surgery protocol vs conventional management in patients undergoing laparoscopic gastrectomy. World Journal of Gastroenterology, v. 26, n. 37, p. 5646–5660, 7 out. 2020
This work is licensed under a Creative Commons Attribution 4.0 International License.
Copyright (c) 2024 Carlos Augusto da Conceição Sena Filho , Matheus Queiroz Guimarães , Gustavo Henrique Firmino Mendonça, Jhony Rodrigues Aguilar