Laparoscopic completion total gastrectomy for remnant gastric cancer: a single-institution experience

Son, Sang‐Yong; Lee, Chang Min; Jung, Do Hyun; Ahn, Sang Hoon; Park, Do Joong; Kim, Hyung‐Ho

doi:10.1007/s10120-014-0339-1

Cited by 45 publications

(60 citation statements)

References 16 publications

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“…A total of 18 patients (18 %) had postoperative complications. Eight studies (67 of 100 patients) reported that no conversion to open surgery had been required, whereas one study reported a 47 % conversion rate to open surgery [10].…”

Section: Resultsmentioning

confidence: 99%

“…The literature search yielded ten English-language publications on laparoscopic gastrectomy for remnant gastric cancer (Table 3) [6][7][8][9][10][19][20][21][22][23]. A summary of open surgery for remnant gastric cancer during this study period is also presented.…”

Section: Resultsmentioning

confidence: 99%

“…Since then, laparoscopic gastrectomy for remnant gastric cancer has been reported sporadically in association with the increased use of minimally invasive techniques for stomach surgery. Recently, moderate-size case series (up to 18 patients) have been published from some high-volume centers [7][8][9][10]. However, because remnant gastric cancer is rare, the number of cases reported per study has been small.…”

Section: Introductionmentioning

confidence: 99%

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Laparoscopic gastrectomy for remnant gastric cancer: a comprehensive review and case series

et al. 2014

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Background Remnant gastric cancer is increasing with the earlier detection of gastric cancer and improved medical care. Laparoscopic gastrectomy for remnant gastric cancer has been reported sporadically in association with the increased use of minimally invasive techniques. However, because of the rarity of remnant gastric cancer, the number of cases reported per study has been small. We therefore reviewed all published English-language reports, including our experience, to better characterize the technical aspects of currently used procedures. Methods Ten patients who underwent laparoscopic gastrectomy for remnant cancer between August 2005 and March 2014 were retrospectively studied. A comprehensive literature search was performed using the PubMed database to identify English-language studies on laparoscopic gastrectomy for remnant gastric cancer that were published before May 2014. Results There was no conversion to open surgery. The mean operating time was 325 min, and mean intraoperative blood loss was 55 g. The mean number of retrieved lymph nodes was 22, and mean postoperative hospital stay was 13 days. There was only one minor wound infection (overall morbidity rate, 10 %). From the literature review, all comparative studies revealed that laparoscopic gastrectomy for remnant gastric cancer required a longer operating time, and most studies reported less intraoperative blood loss, an equivalent number of harvested lymph nodes, and a shorter postoperative stay as compared with open surgery. Conclusion Proficiency in advanced laparoscopic surgical techniques, such as proper adhesiolysis and stable laparoscopic anastomosis, will allow laparoscopic gastrectomy for remnant gastric cancer to be performed with satisfactory short-term results. This minimally invasive approach can be one treatment option for remnant gastric cancer.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Laparoscopic gastrectomy for remnant gastric cancer: a comprehensive review and case series

et al. 2014

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“…Three studies have compared laparoscopic completion total gastrectomy and open completion total gastrectomy (Table 4). [34][35][36] Laparoscopic completion total gastrectomy had similar surgical outcomes to open completion total gastrectomy, except the former had a significantly longer operative time. Laparoscopic completion total gastrectomy was technically feasible and reliable, but offered no definitive clinical advantage over open completion total gastrectomy.…”

Section: Laparoscopic-completed Total Gastrectomy For Remnant Gastricmentioning

confidence: 94%

Laparoscopic Total Gastrectomy for Gastric Cancer

Jung

Kim

2015

J Minim Invasive Surg

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Laparoscopic total gastrectomy (LTG) has been more widely performed in the last decade because of improvements in the techniques and safety of laparoscopic distal gastrectomy. However, due to its technical difficulty, there are still concerns regarding the safety of LTG. Meta-analyses have shown that LTG is technically feasible, safe, and may offer advantages over open total gastrectomy for treatment of gastric cancer. Various methods of performing esophagojejunostomy have been developed in an effort to decrease the rate of anastomosis-related complications, and have ultimately improved the safety and acceptance of LTG. However, there is still a lack of level-one evidence in support of LTG. Conduct of large-scale, randomized clinical trials will be needed in order to verify the safety and efficacy of LTG. Therefore, we reviewed the current status and some of the controversies surrounding LTG.

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“…Another presumed advantage of robotic gastrectomy is that the learning curve for robotic gastric surgery may be easier to learn compared to laparoscopic gastric surgery (41). The published number of cases representing the learning curve for laparoscopic gastric surgery is anywhere from 40 to 100 cases (42)(43)(44)(45).…”

Section: Robotic Surgery For Gastric Cancermentioning

confidence: 99%

Minimally invasive surgery for gastric cancer in USA: current status and future perspectives

Russo¹,

Strong²

2017

Transl. Gastroenterol. Hepatol.

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Abstract:The World Health Organization (WHO) has declared gastric carcinoma a global health concern and gastric cancer remains the third leading cause of cancer deaths worldwide. With the rising incidence of gastric cancer, a body of both retrospective and randomized data has emerged since the early 1990's evaluating the role of minimally invasive platforms in the management of gastric cancer. While Eastern studies have shown that the laparoscopic approach is safe and feasible for advanced gastric cancer in Eastern patients, it is not clear whether this is true for patients in the West. Differences in tumor biology, stage at presentation, institutional volume, and surgeon experience all may impact the efficacy and widespread utilization of minimally invasive approaches in regions where gastric cancer is less prevalent. The majority of studies have pointed to a number of improvements associated with minimally invasive approaches including decreased blood loss, shorter length of hospital stay, lower analgesic requirements, decreased minor complications, and faster recovery without any significant difference in overall or disease specific survival (DSS). The benefits associated with minimally invasive approaches and evidence supporting similar oncologic outcomes compared to the traditional open approach will hopefully expand the indications for minimally invasive surgery in the management of gastric cancer. In the United States, results following initial experiences with minimally invasive techniques, including robotic platforms, have revealed promising results.Well-established laparoscopic and robotic techniques are emerging, particularly from high volume United States institutions, which will hopefully pave the way for increased utilization of minimally invasive surgery for gastric cancer in the West.

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Laparoscopic completion total gastrectomy for remnant gastric cancer: a single-institution experience

Cited by 45 publications

References 16 publications

Laparoscopic gastrectomy for remnant gastric cancer: a comprehensive review and case series

Laparoscopic gastrectomy for remnant gastric cancer: a comprehensive review and case series

Laparoscopic Total Gastrectomy for Gastric Cancer

Minimally invasive surgery for gastric cancer in USA: current status and future perspectives

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