Circumstance of endoscopic and laparoscopic treatmentsfor gastric cancer in Japan： A review of epidemiologicalstudies using a national administrative database

• 作者: Atsuhiko Murata Shinya Matsuda
• 来源期刊: 世界胃肠内镜杂志：英文版（电子版）
• 学科: 医学
• 关键词: GASTRIC cancer ENDOSCOPIC submucosaldissection LAPAROSCOPIC GASTRECTOMY Diagnosis ProcedureCombination ADMINISTRATIVE database Epidemiologicalstudies
• 年，卷（期）: 2015,（2）
• 页码范围: 121-127
• 页数: 7页
• 分类号: R

摘要

Currently, endoscopic submucosal dissection （ESD） andlaparoscopic gastrectomy （LG） have become widelyaccepted and increasingly play important roles in thetreatment of gastric cancer. Data from an administrativedatabase associated with the diagnosis procedurecombination （DPC） system have revealed some circumstancesof ESD and LG in Japan. Some studiesdemonstrated that medical costs or length of stay ofpatients receiving ESD for gastric cancer had becomesignificantly reduced while length of hospitalization andcosts were significantly increased in older patients. Withrespect to LG, some recent reports have shown thatthis has been a cost-beneficial treatment for patientscompared with open gastrectomy while simultaneousLG and cholecystectomy is a safe procedure for patientswith both gastric cancer and gallbladder stones.These epidemiological studies using the administrativedatabase in the DPC system closely reflect clinicalcircumstances of endoscopic and surgical treatment forgastric cancer in Japan. However, DPC database doesnot contain detailed clinical data such as histologicaltypes and lesion size of gastric cancer. The link betweenthe DPC database and another detailed clinical databasemay be vital for future research into endoscopic andlaparoscopic treatments for gastric cancer.