Laparoscopic gastrectomy for early gastric cancer targeting as a less invasive procedure

Abstract

LADG is a less-invasive surgical procedure as it produces early normalization or smaller shifts in various parameters and exhibits a low prevalence of complications.

Safety and feasibility of laparoscopy-assisted distal gastrectomy with suprapancreatic nodal dissection for clinical stage I gastric cancer: a multicenter phase II trial (JCOG 0703)

“…A body temperature greater than 38 °C is one of the clinical manifestations of systemic infl ammatory response syndrome (SIRS) [26], and patients can suffer greatly from this complication. The change in body temperature was as we expected and was similar to the results of previous reports [27,28].…”

Assessment of pain by face scales after gastrectomy: comparison of laparoscopically assisted gastrectomy and open gastrectomy

“…Postoperative vital signs and blood test results also are reported to be more stable after LG than after open gastrectomy [1,4]. The incidence of complications after LG is equivalent to or lower than those after open gastrectomy, and the safety of the method also has been established [1,3,4,7,8]. As such, LG currently is recognized as a minimally invasive surgery.…”

“…The general characteristics of LG are long operative time, little blood loss or pain, and short postoperative hospital stay [1][2][3][4]6]. Postoperative vital signs and blood test results also are reported to be more stable after LG than after open gastrectomy [1,4].…”

“…The minimally invasive nature of laparoscopic gastrectomy (LG) has been reported in numerous studies [1][2][3][4]. Although laparoscopic surgery characteristically causes little postoperative pain, some patients report intense pain after LG, whereas others report almost no pain after open gastrectomy.…”

Totally laparoscopic gastrectomy for gastric cancer after endoscopic submucosal dissection: a propensity score matching analysis

“…If ESD specimens are diagnosed as non-curative lesions by pathologists, further treatment is needed and laparoscopy-assisted gastrectomy (LAG) is likely to be the first choice. LAG with regional lymph node dissection has been used in the treatment of early gastric cancer (EGC) with low mortality and morbidity and improvement in patient quality of life [3]. We have performed totally LG (TLG) for EGC, including totally laparoscopic distal gastrectomy (TLDG), totally laparoscopic proximal gastrectomy (TLPG) and totally laparoscopic total gastrectomy (TLTG) with intracorporeal anastomosis, using a laparoscopic linear stapler.…”