Recent advances and some consideration about laparoscopic surgery in patients with gastric cancer.
- Author:
Xiang-qian SU
1
;
Hong YANG
;
Jia-di XING
Author Information
1. Department of Minimally Invasive Gastrointestinal Surgery, Beijing Cancer Hospital & Institute, Peking University Cancer Hospital, Peking University School of Oncology, Beijing, China. suxiangqian@gmail.com
- Publication Type:Journal Article
- MeSH:
Gastrectomy;
methods;
Humans;
Laparoscopy;
methods;
Stomach Neoplasms;
surgery
- From:
Chinese Journal of Gastrointestinal Surgery
2012;15(8):773-775
- CountryChina
- Language:Chinese
-
Abstract:
Laparoscopy-assisted distal gastrectomy for gastric cancer was first reported in 1994. Since then, the laparoscopic approach is rapidly becoming the preferred method of treatment for patients with early gastric cancer (EGC) due to the many advantages of minimally invasive surgery. Many retrospective comparative trials and randomized-controlled trials (RCT) have confirmed that laparoscopic gastrectomy (LG) is safe and feasible, and that short-term outcomes are better than those of open gastrectomy in patients with EGC. As laparoscopic experience has accumulated, the indications for LG have been broadened to patients with advanced gastric cancer (AGC). However, the role of LG remains controversial, because studies of the long-term outcomes of LG are insufficient. Laparoscopic gastric surgery is demanding from a technical point of view, especially when a D2 lymphadenectomy is performed. Adequate training in laparoscopic techniques and procedures is mandatory prior to embarking on a LG.
