Completely laparoscopic radical treatment of distal gastric cancer through natural orifice specimen extraction surgery: past, present, and future
10.3760/cma.j.cn441530-20240312-00091
- VernacularTitle:完全腹腔镜下远端胃癌根治术经自然腔道取标本手术的过去、现在和未来
- Author:
Weibo LI
1
;
Dongbing DING
;
Rongpu LIANG
;
He HUANG
;
Yang ZHAO
;
Bo WEI
Author Information
1. 中山大学附属第三医院胃肠外科，广州 510630
- Keywords:
Stomach neoplasms, distal;
Laparoscopy;
Natural orifice specimen extraction surgery;
Development
- From:
Chinese Journal of Gastrointestinal Surgery
2024;27(11):1172-1177
- CountryChina
- Language:Chinese
-
Abstract:
Gastric cancer is a prevalent malignancy of the digestive system, and traditional laparoscopic radical gastrectomy remains a crucial treatment modality. However, the abdominal wound associated with specimen removal during this procedure conflicts with contemporary concept of minimally invasive surgery. Natural orifice specimen extraction surgery (NOSES) is an emerging minimally invasive surgical technique that has gained increasing utilization in patients with gastrointestinal tumors, owing to its benefits of reduced wound, accelerated postoperative recovery, and diminished postoperative pain. In recent years, the extensive application of NOSES technology for colorectal cancer in China has provided theoretical support for the minimally invasive treatment of gastric cancer. With the standardization of community health examinations in China, the incidence of early gastric cancer diagnoses is expected to rise, making NOSES surgery the likely future trend in the surgical treatment for early gastric cancer. However, this area remains under-explored both domestically and internationally. This paper aims to synthesize prior literature and review the historical development, current research status, advantages and disadvantages, technical challenges, and future directions of completely laparoscopic radical treatment of distal gastric cancer utilizing NOSES.
