Application of reduced-port laparoscopic total gastrectomy in gastric cancer preserving the pancreas and spleen

Kunisaki, Chikara; Makino, Hirochika; Kimura, Junko; Takagawa, Ryo; Ota, Mitsuyoshi; Kubo, Takashi; Akiyama, Hirotoshi; Endo, Itaru

doi:10.1007/s10120-014-0441-4

Cited by 20 publications

(25 citation statements)

References 21 publications

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“…Predictive parameter may be the number of retrieved lymph nodes. In addition, that of previous reports was 36.5 (range, , which seemed to be comparable with that of CLG (7,11,14,17,(25)(26)(27)(28)(29)(30)(31)(32)(33)(34)(35)(36)(37)(38)(39)(40)(41)(42)(43). The long-term results can be expected.…”

Section: Oncological Validitysupporting

confidence: 85%

“…The term RPLG can be applied to various procedures with various efforts to achieve minimal invasiveness. Many literatures indicated that RPLG procedures are comparable with CLG procedures (11,(35)(36)(37)(38)(39)(40)(41). The present authors' concept of RPLG was derived from SILG.…”

Section: Reduced-port Laparoscopic Gastrectomymentioning

confidence: 87%

“…The feasibility of RPLG seems to be almost established in previous reports (7,11,14,17,(25)(26)(27)(28)(29)(30)(31)(32)(33)(34)(35)(36)(37)(38)(39)(40)(41)(42)(43). The median operative time in previous reports was 241.9 minutes (range, 186-302 minutes).…”

Section: Feasibilitymentioning

confidence: 89%

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Reduced port laparoscopic gastrectomy for gastric cancer

Inaki¹,

Tsuji²,

Doden³

et al. 2016

Transl. Gastroenterol. Hepatol.

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The use of reduced port laparoscopic surgery (RPS) has become increasingly popular. The concept of RPS includes all procedures derived from various efforts minimizing the invasiveness of surgery, with single-incision laparoscopic surgery (SILS) being the ultimate reduced port technique. Reduced-port laparoscopic gastrectomy (RPLG) for gastric cancer has not yet been fully established and still has issues such as feasibility, oncological validity, training, and education. The short-term results of reported studies are acceptable. However, long-term results that verify positive results or radical cure even in cases of cancer have not yet been published. Patients for whom RPLG is indicated should be selected carefully. Prospective multicenter studies should be conducted to establish RPS as a truly evidence-based practice that addresses not only cosmesis but also the appropriate balance between minimal invasiveness and radical cure.

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Section: Oncological Validitysupporting

confidence: 85%

Section: Reduced-port Laparoscopic Gastrectomymentioning

confidence: 87%

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Reduced port laparoscopic gastrectomy for gastric cancer

Inaki¹,

Tsuji²,

Doden³

et al. 2016

Transl. Gastroenterol. Hepatol.

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“…Although current surgical procedures for LTG have not yet been widely established and standardized, reports have appeared concerning the application of more advanced techniques, such as robotic total gastrectomy [64,65] and reduced-port LTG [66,67]. Robotic gastrectomy has been reported to provide manipulations as reliable as those provided by LTG.…”

Section: Discussionmentioning

confidence: 99%

A systematic review of laparoscopic total gastrectomy for gastric cancer

et al. 2015

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Background Laparoscopic total gastrectomy (LTG) has been performed since 1999. Although surgical outcomes have been reported from Japan, Korea, China, and many Western countries, the effectiveness of this technique has not been conclusively established. This study therefore aimed to review the literature systematically. Methods Our search of the research literature identified 150 studies, which were mostly retrospective and from single institutions. Results There has recently been a remarkable increase in the number of studies from Korea, and the number of patients included in studies has increased since 2009. In most studies, the surgical procedures were longer, blood loss was reduced, and the number of retrieved lymph nodes was the same in the LTG group as in the open total gastrectomy group. The incidence of postoperative complications and that of inflammation during postoperative recovery were the same in these two groups. Conclusions During LTG, the method used for esophagojejunostomy is important for surgical reliability and to reduce postoperative complications. There has been rapid development of new techniques from the level of esophagojejunostomy through a small skin incision to the high level of intracorporeal esophagojejunostomy using various techniques. A nationwide prospective phase II study is urgently needed to establish the value of LTG.

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“…Kunisaki et al 43 and Kawamura et al 44 compared conventional LTG with dual-port LTG (Table 5). Kunisaki et al reported that the operative time was significantly longer with dual-port LTG (319.0 min) than with conventional LTG (259.0 min).…”

Section: Dual-port or Single-port Ltgmentioning

confidence: 99%

Laparoscopic Total Gastrectomy for Gastric Cancer

Jung

Kim

2015

J Minim Invasive Surg

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Laparoscopic total gastrectomy (LTG) has been more widely performed in the last decade because of improvements in the techniques and safety of laparoscopic distal gastrectomy. However, due to its technical difficulty, there are still concerns regarding the safety of LTG. Meta-analyses have shown that LTG is technically feasible, safe, and may offer advantages over open total gastrectomy for treatment of gastric cancer. Various methods of performing esophagojejunostomy have been developed in an effort to decrease the rate of anastomosis-related complications, and have ultimately improved the safety and acceptance of LTG. However, there is still a lack of level-one evidence in support of LTG. Conduct of large-scale, randomized clinical trials will be needed in order to verify the safety and efficacy of LTG. Therefore, we reviewed the current status and some of the controversies surrounding LTG.

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Application of reduced-port laparoscopic total gastrectomy in gastric cancer preserving the pancreas and spleen

Cited by 20 publications

References 21 publications

Reduced port laparoscopic gastrectomy for gastric cancer

Reduced port laparoscopic gastrectomy for gastric cancer

A systematic review of laparoscopic total gastrectomy for gastric cancer

Laparoscopic Total Gastrectomy for Gastric Cancer

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