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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.
Subject(s)

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

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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