Results:
COMPLICATIONS, CARDIAC COMPLICATIONS
Two hundred eleven patients from the LOGICA RCT (105 open vs 106 laparoscopic) and 4131 patients from the DUCA data set (1884 open vs 2247 laparoscopic) were included. In 2012, laparoscopic gastrectomy was performed in 6% of patients, increasing to 82% in 2021. No significant effect of laparoscopic gastrectomy on postoperative clinical outcomes was observed within the LOGICA RCT. Nationally within DUCA, a shift toward a beneficial effect of laparoscopic gastrectomy upon complications was observed, reaching a significant reduction in overall [adjusted odds ratio (aOR):0.62; 95% CI: 0.46–0.82], severe (aOR: 0.64; 95% CI: 0.46–0.90) and cardiac complications (aOR: 0.51; 95% CI: 0.30–0.89) after the LOGICA trial.