Journal
WORLD JOURNAL OF GASTROENTEROLOGY
Volume 22, Issue 2, Pages 727-735Publisher
BAISHIDENG PUBLISHING GROUP INC
DOI: 10.3748/wjg.v22.i2.727
Keywords
Gastrectomy; Laparoscopic resection; Early gastric cancer; Stomach neoplasms; Advanced gastric cancer; Minimally invasive surgery
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Funding
- ETRI R&D Program (The Development of a Realistic Surgery Rehearsal System based on Patient Specific Surgical Planning) - Government of South Korea [14ZC1400]
- National Research Council of Science & Technology (NST), Republic of Korea [14ZC1400] Funding Source: Korea Institute of Science & Technology Information (KISTI), National Science & Technology Information Service (NTIS)
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Laparoscopic gastrectomy has been widely accepted as a standard alternative for the treatment of early-stage gastric adenocarcinoma because of its favorable short-term outcomes. Although controversies exist, such as establishing clear indications, proper preoperative staging, and oncologic safety, experienced surgeons and institutions have applied this approach, along with various types of function-preserving surgery, for the treatment of advanced gastric cancer. With technical advancement and the advent of state-of-the-art instruments, indications for laparoscopic gastrectomy are expected to expand as far as locally advanced gastric cancer. Laparoscopic gastrectomy appears to be promising; however, scientific evidence necessary to generalize this approach to a standard treatment for all relevant patients and care providers remains to be gathered. Several multicenter, prospective randomized trials in high-incidence countries are ongoing, and results from these trials will highlight the short- and long-term outcomes of the approach. In this review, we describe up-to-date findings and critical issues regarding laparoscopic gastrectomy for gastric cancer.
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