Current status of minimally invasive surgery for gastric cancer: A literature review to highlight studies limits

被引:30
作者
Parisi, Amilcare [1 ]
Nguyen, Ninh T. [2 ]
Reim, Daniel [3 ]
Zhang, Shu [4 ]
Jiang, Zhi-Wei [4 ]
Brower, Steven T. [5 ]
Azagra, Juan-Santiago [6 ]
Facy, Olivier [7 ]
Alimoglu, Orhan [8 ]
Jackson, Patrick G. [9 ]
Tsujimoto, Hironori [10 ]
Kurokawa, Yukinori [11 ]
Zang, Lu [12 ]
Coburn, Natalie G. [13 ]
Yu, Pei-Wu [14 ]
Zhang, Ben [14 ]
Qi, Feng [15 ]
Coratti, Andrea [16 ]
Annecchiarico, Mario [16 ]
Novotny, Alexander [3 ]
Goergen, Martine [6 ]
Lequeu, Jean-Baptiste [7 ]
Eren, Tunc [8 ]
Leblebici, Metin [8 ]
Al-Refaie, Waddah [17 ]
Takiguchi, Shuji
Ma, Junjun [12 ]
Zhao, Yong-Liang
Liu, Tong
Desiderio, Jacopo [1 ]
机构
[1] Univ Perugia, St Marys Hosp, Dept Digest Surg, Terni, Italy
[2] Univ Calif Irvine, Irvine Med Ctr, Dept Surg, Div Gastrointestinal Surg, Orange, CA 92668 USA
[3] Tech Univ Munich, Klinikum Rechts Isar, Chirurg Klin & Poliklin, D-80290 Munich, Germany
[4] Nanjing Univ, Sch Med, Jinling Hosp, Dept Gen Surg, Nanjing 210008, Jiangsu, Peoples R China
[5] Mt Sinai Beth Israel Med Ctr, Dept Surg, New York, NY USA
[6] Ctr Hosp Luxembourg, Unite Malad Appareil Digestif & Endocrine, Luxembourg, Luxembourg
[7] CHU Bocage, Serv Chirurg Digest & Cancerol, Dijon, France
[8] Istanbul Medeniyet Univ, Sch Med, Dept Gen Surg, Istanbul, Turkey
[9] Medstar Georgetown Univ Hosp, Div Gen Surg, Washington, DC USA
[10] Natl Def Med Coll, Dept Surg, Tokorozawa, Saitama 359, Japan
[11] Osaka Univ, Grad Sch Med, Dept Surg Gastroenterol, Osaka, Japan
[12] Shanghai Jiao Tong Univ, Sch Med, Ruijin Hosp, Dept Surg, Shanghai 200030, Peoples R China
[13] Sunnybrook Hlth Sci Ctr, Div Gen Surg, Toronto, ON M4N 3M5, Canada
[14] Third Mil Med Univ, Dept Gen Surg, Southwest Hosp, Chongqing, Peoples R China
[15] Tianjin Med Univ Gen Hosp, Dept Gastrointestinal Surg, Tianjin, Peoples R China
[16] Careggi Univ Hosp, Dept Oncol, Div Oncol & Robot Surg, Florence, Italy
[17] Medstar Georgetown Univ Hosp, Div Surg Oncol, Washington, DC USA
关键词
Gastric cancer; Gastrectomy; Minimally invasive surgery; Robotic surgery; Laparoscopic surgery; ASSISTED DISTAL GASTRECTOMY; LYMPH-NODE DISSECTION; RANDOMIZED-CONTROLLED-TRIALS; LAPAROSCOPIC GASTRECTOMY; SURGICAL PERFORMANCE; SUBTOTAL GASTRECTOMY; ROBOTIC GASTRECTOMY; INTERIM-REPORT; MULTICENTER; ADENOCARCINOMA;
D O I
10.1016/j.ijsu.2015.02.021
中图分类号
R61 [外科手术学];
学科分类号
摘要
Background: Gastric cancer represents a great challenge for health care providers and requires a multidisciplinary approach in which surgery plays the main role. Minimally invasive surgery has been progressively developed, first with the advent of laparoscopy and more recently with the spread of robotic surgery, but a number of issues are currently being investigate, including the limitations in performing effective extended lymph node dissections and, in this context, the real advantages of using robotic systems, the possible role for advanced Gastric Cancer, the reproducibility of completely intracorporeal techniques and the oncological results achievable during follow-up. Method: Searches of MEDLINE, Embase and Cochrane Central Register of Controlled Trials were performed to identify articles published until April 2014 which reported outcomes of surgical treatment for gastric cancer and that used minimally invasive surgical technology. Articles that deal with endoscopic technology were excluded. Results: A total of 362 articles were evaluated. After the review process, data in 115 articles were analyzed. Conclusion: A multicenter study with a large number of patients is now needed to further investigate the safety and efficacy as well as long-term outcomes of robotic surgery, traditional laparoscopy and the open approach. (C) 2015 IJS Publishing Group Limited. Published by Elsevier Ltd. All rights reserved.
引用
收藏
页码:34 / 40
页数:7
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