Logica Trial’s Impact: Evolution of Laparoscopic Gastrectomy in the Netherlands

Analyzing data from the Logica randomized controlled trial (RCT) and the Dutch Upper Gastrointestinal Cancer Audit (DUCA), researchers explored the influence of the Logica RCT on laparoscopic gastrectomy practice in the Netherlands (2012-2021). While the Logica RCT showed no significant impact on outcomes, the DUCA nationally revealed a shift, indicating laparoscopic gastrectomy’s benefits, significantly reducing overall, severe, and cardiac complications post-Logica trial. The study emphasizes safe dissemination facilitated by a robust surgical quality assurance program following the Logica trial.