AIM: To evaluate the implementation of a clinical pathway and identify clinical factors affecting the clinical pathway for laparoscopic gastrectomy. METHODS: A standardized clinical pathway for @entity356 ( @entity356 ) @entity1 was developed in 2001 by the @entity356 surgery team at the Asan Medical Center. We reviewed the collected data of 4800 consecutive @entity1 treated using the clinical pathway following laparoscopic gastrectomy with lymph node dissection for @entity356 involving intracorporeal and extracorporeal @entity254 . The @entity1 were treated between August 2004 and October 2013 in a single institution. To evaluate the rate of completion and risk factors affecting dropout from the clinical pathway, we used a multivariate logistic regression analysis. RESULTS: The overall completion rate of the clinical pathway for laparoscopic gastrectomy was 84.1% (n = 4038). In the comparison between groups of intracorporeal @entity254 and extracorporeal @entity254 @entity1 , the completion rates were 83.88% (n = 1740) and 84.36% (n = 2071), respectively, showing no statistically significant difference. The main reasons for dropping out were @entity260 (n = 463, 9.7%) and the need for @entity1 observation (n = 299, 6.2%). Among the discharged @entity1 treated using the clinical pathway, the number of @entity1 who were readmitted within 30 d due to @entity260 was 54 (1.1%). In a multivariate analysis, the intraoperative events (OR = 2.558) were the most predictable risk factors for dropping out of the clinical pathway. Additionally, being male (OR = 1.459), advanced age (OR = 1.727), total gastrectomy (OR = 2.444), combined operation (OR = 1.731), and ASA score (OR = 1.889) were significant risk factors affecting the dropout rate from the clinical pathway. CONCLUSION: Laparoscopic gastrectomy appears to be a good indication for the application of a clinical pathway. For successful application, @entity1 with risk factors should be managed carefully.

Use of a clinical pathway in laparoscopic gastrectomy for XXXX .

@entity1 :: ('9606', 'Species') :: ['patients', 'patient'] @entity254 :: ('MESH:C563598', 'Disease') :: ['anastomosis'] @entity356 :: ('MESH:D013274', 'Disease') :: ['gastric cancer', 'GC'] @entity260 :: ('MESH:D011183', 'Disease') :: ['postoperative complications']
@entity356 :: (MESH:D013274,Disease) :: ['gastric cancer']
