Is Laparoscopic Approach Also Safe for the Treatment of Remnant Gastric Cancer?
Journal of Minimally Invasive Surgery
;
: 3-4, 2019.
Article
in English
| WPRIM
| ID: wpr-765789
ABSTRACT
The most important advantages of laparoscopic gastrectomy are the minimal invasiveness, including less postoperative pain, shorter recovery, and minimal complications. A laparoscopic distal gastrectomy is accepted widely as a standard treatment for gastric cancer. On the other hand, a laparoscopic total gastrectomy has not been popularized as a distal gastrectomy because of the complexity of a lymph node dissection and the diversity of reconstruction. In terms of laparoscopic surgery for a remnant gastrectomy, there are three key points, which are critical for safe operation adequate lymph node dissection, meticulous adhesiolysis, and reconstruction. After radical surgery for gastric cancer, the intra-abdominal condition is greatly changed. In addition, the lymphatic anatomy around the stomach is broken and surgeons should be aware of a newly developed lymphatic system to perform adequate node dissection. An esophago-jejunal reconstruction is at risk of leakage. Until evidence that is more concrete can be obtained, experienced surgeons should consider the laparoscopic approach.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Pain, Postoperative
/
Stomach
/
Stomach Neoplasms
/
Laparoscopy
/
Gastric Stump
/
Surgeons
/
Gastrectomy
/
Hand
/
Lymph Node Excision
/
Lymphatic System
Language:
English
Journal:
Journal of Minimally Invasive Surgery
Year:
2019
Type:
Article
Similar
MEDLINE
...
LILACS
LIS