J Gastric Cancer.  2013 Mar;13(1):19-25.

Laparoscopic Surgery for Advanced Gastric Cancer: Current Status and Future Perspectives

• Uyama I
• Suda K
• Satoh S

Abstract

Laparoscopic gastrectomy has been widely accepted especially in patients with early-stage gastric cancer. However, the safety and oncologic validity of laparoscopic gastrectomy for advanced gastric cancer are still being debated. Since the late 90s', we have been engaged in developing a stable and robust methodology of laparoscopic radical gastrectomy for advanced gastric cancer, and have established laparoscopic distinctive technique for suprapancreatic lymph node dissection, namely the outermost layer-oriented medial approach. In this article, We present the development history of this method, and current status and future perspectives of laparoscopic gastrectomy for advanced gastric cancer based on our experience and a review of the literature.

Keyword

Laparoscopy; Gastrectomy; Stomach neoplasms; Robotics; Anastomosis, surgical

MeSH Terms

Anastomosis, Surgical
Gastrectomy
Humans
Laparoscopy
Lymph Node Excision
Robotics
Stomach Neoplasms

Figure

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  Fig. 1 Forceps and hemostats specialized for advanced laparoscopic surgery. 1a: Finger type Maryland Dissection forceps "WA64300A"; 1b: Left-hand type Grasping forceps "WA64360A"; 1c: Ultrasonic Surgical System "SonoSurg X"; 1d: Suction and irrigation tube with button electrode "WA51138A+WA51172S"; 1e: Johann type Bipolar Grasping forceps "WA64120C".

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  Fig. 2 Outermost layer between the autonomic nerve sheath of the common hepatic artery and adipose tissue bearing #8a lymph nodes.

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  Fig. 3 THUNDERBEAT.

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  Fig. 4 ENDOEYE FLEX 3D DEFLECTABLE VIDEOSCOPE.

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  Fig. 5 AirSeal System.

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