Is Laparoscopic Approach Also Safe for the Treatment of Remnant Gastric Cancer?
Journal of Minimally Invasive Surgery
; : 3-4, 2019.
Article
em En
| WPRIM
| ID: wpr-765789
Biblioteca responsável:
WPRO
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.
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Texto completo:
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Índice:
WPRIM
Assunto principal:
Dor Pós-Operatória
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Estômago
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Neoplasias Gástricas
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Laparoscopia
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Coto Gástrico
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Cirurgiões
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Gastrectomia
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Mãos
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Excisão de Linfonodo
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Sistema Linfático
Idioma:
En
Revista:
Journal of Minimally Invasive Surgery
Ano de publicação:
2019
Tipo de documento:
Article