This is the Scientific Surgery Archive, which contains all randomized clinical trials in surgery that have been identified by searching the top 50 English language medical journal issues since January 1998. Compiled by Jonothan J. Earnshaw, former Editor-in-Chief, BJS

Assessment of laparoscopic distal gastrectomy after neoadjuvant chemotherapy for locally advanced gastric cancer. A randomized clinical trial. JAMA Surg 2019; 154: 1093-1101

Published: 20th March 2020

Authors: Li Z, Shan F, Ying X, Zhang Y, E J-Y, Wang Y et al.

Conclusion

Early results of this RCT that included 95 patients suggest the laparoscopic approach was associated with fewer postoperative complications (20 versus 46 per cent, P=0.007) and less pain for at least 48h (P=0.008). More patients in the laparoscopic group also completed their adjuvant chemotherapy: odds ratio 4.39, 95 per cent c.i. 1.63 to 11.8, P=0.003.

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