Minimally invasive gastric surgery

被引:3
作者
Ludwig, K. [1 ]
Scharlau, U. [1 ]
Schneider-Koriath, S. [1 ]
Bernhardt, J. [1 ]
机构
[1] Klinikum Sudstadt Rostock, Klin Chirurg, D-18059 Rostock, Germany
来源
CHIRURG | 2012年 / 83卷 / 01期
关键词
Gastric cancer; Minimally invasive surgery; Laparoscopic gastrectomy; Complication rates; Morbidity; ASSISTED DISTAL GASTRECTOMY; LYMPH-NODE DISSECTION; LAPAROSCOPIC GASTRECTOMY; LOCAL RESECTION; CANCER; LYMPHADENECTOMY; METAANALYSIS; MULTICENTER; OUTCOMES;
D O I
10.1007/s00104-011-2148-y
中图分类号
R61 [外科手术学];
学科分类号
摘要
The interest in minimally invasive surgery (MIS) for the treatment of gastric carcinoma has increased in recent years worldwide. In particular, for early gastric carcinoma (EGC) many retrospective comparative trials and some prospective randomized trials have confirmed that laparoscopy-assisted distal gastrectomy shows a better short-term outcome in terms of lower morbidity, less pain, faster recovery and shorter hospital stay in contrast to open surgery. In this group of selected patients MIS is safe and feasible but at present not widely accepted because of a limited evaluation in oncologic long-term follow-up. In cases of EGC limited to the mucosal layer and under the condition that endoscopic resection is not suitable, laparoscopic local wedge resection or intragastric resection can be an alternative option with good results in long-term follow-up. The data for laparoscopic total gastrectomy and MIS for advanced gastric cancer have confirmed that both are technically feasible and extended lymph node dissection can also be laparoscopically performed. However, laparoscopic total gastrectomy is much more complex and even in expert hands more complications and a higher morbidity have been observed in contrast to laparoscopic distal resections.
引用
收藏
页码:16 / 22
页数:7
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