Laparoscopic Gastrectomy for Gastric Cancer

Lee, Hyuk‐Joon; Yang, Han‐Kwang

doi:10.1159/000350884

Cited by 36 publications

(20 citation statements)

References 53 publications

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“…A total of 400 patients were enrolled and the study was completed in 2012. Surgical complications, quality of life, immunologic response, and cost-effectiveness will be analyzed [89] .…”

Section: Robotic Surgery In Gastric Cancermentioning

confidence: 99%

“…A total of 400 patients were enrolled and the study was completed in 2012. Surgical complications, quality of life, immunologic response, and cost-effectiveness will be analyzed [89] .Recently, a robotic system was introduced that included image-guided assistance. Kim et al [90] performed 12 robotic gastrectomies using intraoperative vascular images, which depicted vasculatures around the stomach.…”

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confidence: 99%

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Minimally Invasive Surgery of Gastric Cancer

Güner

Hyung

2017

Minimally Invasive Surgery for Upper Abdominal Cancer

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Minimally invasive surgery for gastric cancer has rapidly gained popularity due to the early detection of early gastric cancer. As advances in instruments and the accumulation of laparoscopic experience increase, laparoscopic techniques are being used for less invasive but highly technical procedures. Recent evidence suggests that the short-and long-term outcomes of minimally invasive surgery for early gastric cancer and advanced gastric cancer are comparable to those of conventional open surgery. However, these results should be confirmed by large-scale multicenter prospective randomized controlled clinical trials.© 2014 Baishideng Publishing Group Inc. All rights reserved. Key words: Gastric cancer; Minimally invasive surgery; Laparoscopic gastrectomyCore tip: Minimally invasive surgery has become an alternative modality for the treatment of gastric cancer.Son SY, Kim HH. Minimally invasive surgery in gastric cancer. World J Gastroenterol 2014; 20(39): 14132-14141 Available from: URL: http://www.wjgnet.com/1007-9327/full/ v20/i39/14132.htm DOI: http://dx.doi.org/10.3748/wjg.v20. tano et al [9] and Nagai et al [10] reported the success of laparoscopy-assisted distal gastrectomy (LADG) for EGC in 1994 and 1995. In the early 2000s, robot-assisted surgery emerged as one of the treatment modalities for EGC, and the first robot-assisted gastrectomy (RAG) for EGC was reported by Hashizume et al [11] in 2003. In 2011, singleincision laparoscopic surgery was described for EGC [12] . MIS has revolutionized the surgical approach to gastric cancer for the past two decades, leading to improvements in patients' quality of life by producing less pain, less blood loss, earlier postoperative recovery, and a shorter hospital stay [13][14][15][16][17][18][19] .Currently, MIS is evolving in two major directions [20] . First, MIS techniques are being used in more radical but less invasive procedures, such as totally laparoscopic distal gastrectomy or laparoscopic total gastrectomy with D1+ or D2 lymphadenectomy. These procedures are comparable to conventional open surgery and can be performed even in patients with advanced gastric cancer (AGC) [21][22][23] . Second, MIS is being employed for function-preserving surgery, including pylorus-preserving gastrectomy (PPG), proximal gastrectomy, and limited gastrectomy with sentinel node navigation surgery. These procedures can assist in improving patients' late postoperative function and quality of life [20,[24][25][26] . RECENT ADVANCES IN LAPAROSCOPIC GASTRECTOMYAs advances in instruments and the accumulation of laparoscopic experience increase, laparoscopic techniques are being used for less invasive but highly technical procedures. Totally laparoscopic gastrectomy (TLG) is one example. TLG has gained popularity since Kanaya et al [27] reported the first delta-shaped anastomosis. A recent meta-analysis (five studies, 652 patients) showed that totally laparoscopic distal gastrectomy has less bleeding, shorter time to first flatus, and lower rates of postoperative complicat...

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“…A total of 400 patients were enrolled and the study was completed in 2012. Surgical complications, quality of life, immunologic response, and cost-effectiveness will be analyzed [89] .…”

Section: Robotic Surgery In Gastric Cancermentioning

confidence: 99%

mentioning

confidence: 99%

Minimally Invasive Surgery of Gastric Cancer

Güner

Hyung

2017

Minimally Invasive Surgery for Upper Abdominal Cancer

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“…However, only few randomized control trials have compared minimally invasive gastrectomy with open gastrectomy. In the real world, with improved diagnostic systems and surgical equipment, the use of laparoscopic gastrectomy for gastric cancer is increasing, particularly in East Asian countries 4) .…”

Section: Introductionmentioning

confidence: 99%

What Is Minimally Invasive Surgery for Patients with Gastric Cancer?

Kaji

Fukunaga

2019

Juntendo Medical Journal

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Objective: Minimally invasive gastrectomy is performed worldwide because it confers less stress and pain for patients with gastric cancer. Recently, other types of minimally invasive gastrectomy, which include robotic gastrectomy, have also been developed. In this paper, we will review the history, current status, and future prospects of minimally invasive gastrectomy. Methods:We overviewed gastric cancer and reviewed the outcomes of previous clinical trials. In addition, we present our newly developed technique of minimally invasive gastrectomy, especially for anastomosis. Results: Previous clinical trials showed that minimally invasive gastrectomy was similar or superior to open gastrectomy in terms of short-term results, while minimally invasive gastrectomy was not superior to open gastrectomy in terms of long-term survival. Many studies have reported that postoperative complications could induce cancer recurrence; hence, we hypothesize that the survival of patients who underwent minimally invasive gastrectomy will be better than that of patients who underwent open gastrectomy. An intracorporeal anastomosis might help decrease the incidence of postoperative complication because it can shorten the length of surgical incisions. However, this procedure requires experienced skilled surgeons. Conclusion:The surgical system of minimally invasive gastrectomy, including robotic gastrectomy, has dramatically improved. Although there are challenges that need to be addressed, we believe that using more advanced technology or equipment will make minimally invasive gastrectomy the standard treatment for gastric cancer in the future.

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“…Gastric cancer (GC) is known as the fourth most common malignancy around the world with both a higher morbidity and mortality, particularly in Asia (China and Japan) . Statistics have revealed that approximately 1 million new cases and 740 thousand deaths would occur in the world annually, and China has the higher incidence with about 400 000 new cases and 300 000 deaths found in each year .…”

Section: Introductionmentioning

confidence: 99%