Comparative Analysis of Laparoscopic and Laparotomic Access in the Radical Treatment of Gastric Malignancies

Abstract

Introduction. Stomach cancer continues to be one of the leading causes of mortality among malignant diseases. The study of various methods of surgical treatment is one of the directions of scientific search.The purpose of the study — comparison of the frequency of postoperative complications with laparoscopic and laparotomic access in patients who underwent radical treatment of gastric malignancies.Materials and methods. Retrospective evaluation of 189 patients diagnosed with malignant neoplasms of the stomach, operating under stationary conditions of the department of abdominal oncology of the Sverdlovsk Regional Oncology Center in 2023.Results and discussion. Length of hospitalization of patients operated by laparoscopic method, was reliably lower than the same number of patients, operated with laparotomy, which allows you to start adjuvant chemotherapy at an earlier date and thereby improve the distant results. In general, the traumatic indicators of surgery were less important in patients, operated laparoscopic method.Conclusion. Based on the data we’ve gathered, that although there is no statistically significant difference in the incidence of intraoperative and postoperative problems when performing laparoscopic and open radical operations in patients with malignant neoplasms of the stomach, the more benefits have laparoscopic access.