J Minim Invasive Surg.  2015 Mar;18(1):1-6. 10.7602/jmis.2015.18.1.1.

Laparoscopic Distal Gastrectomy for Gastric Cancer

Affiliations
  • 1Department of Surgery, Ajou University School of Medicine, Suwon, Korea. hansu@ajou.ac.kr

Abstract

Laparoscopic distal gastrectomy for gastric cancer has rapidly gained popularity because of its short-term benefits, including less blood loss, less postoperative pain, earlier postoperative recovery, and shorter hospital stay, compared to the conventional open method. Although the long-term results of phase III trials have yet to be published, laparoscopic distal gastrectomy is now considered to be accepted for early-stage gastric cancer. As advances in instruments and the accumulation of laparoscopic experience increase, laparoscopic distal gastrectomy is being used for advanced gastric cancer. However, due to the technical difficulty of performing D2 lymphadenectomy, this application remains controversial. Well-designed clinical trials will clarify the surgical feasibility and oncological safety of laparoscopic distal gastrectomy for advanced gastric cancer in the near future.

Keyword

Stomach neoplasms; Laparoscopy; Gastrectomy

MeSH Terms

Gastrectomy*
Laparoscopy
Length of Stay
Lymph Node Excision
Pain, Postoperative
Stomach Neoplasms*
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