2007
DOI: 10.1016/j.suronc.2007.04.012
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Current status of minimal access surgery for gastric cancer

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Cited by 80 publications
(52 citation statements)
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“…The proponents of LADG argue that the procedure is superior to ODG because it is associated with less postoperative pain, reduced peri-operative blood loss, quicker return to gastrointestinal function, faster hospital discharge, an earlier return to work and unrestricted physical activity, and a better cosmetic result 2 . The opponents, however, argue that there is a higher incidence of major intraoperative and postoperative complications because of the complexity of the procedure and absence of tactile sensation, substantially greater costs, much longer anaesthetic and operating time, decreased numbers of lymph nodes harvesting essential for oncological adequacy, insufficient surgical resection margins and potential for cancer reimplantation at trocar sites 2 .…”
Section: Discussionmentioning
confidence: 99%
“…The proponents of LADG argue that the procedure is superior to ODG because it is associated with less postoperative pain, reduced peri-operative blood loss, quicker return to gastrointestinal function, faster hospital discharge, an earlier return to work and unrestricted physical activity, and a better cosmetic result 2 . The opponents, however, argue that there is a higher incidence of major intraoperative and postoperative complications because of the complexity of the procedure and absence of tactile sensation, substantially greater costs, much longer anaesthetic and operating time, decreased numbers of lymph nodes harvesting essential for oncological adequacy, insufficient surgical resection margins and potential for cancer reimplantation at trocar sites 2 .…”
Section: Discussionmentioning
confidence: 99%
“…Kitano et al (9) conducted the first laparoscopic gastric surgery in 1991. Some centers reported that laparoscopy could be applied in early stage gastric cancer, with similar results obtained in terms of oncological principles in minimally invasive surgery as compared to open surgery (10)(11)(12). In addition, postoperative patient comfort was shown to be better in laparoscopic surgery.…”
Section: Introductionmentioning
confidence: 85%
“…Although it has been shown in many studies that open surgery and laparoscopic surgery have similar oncological results, it is observed that conventional minimally invasive surgery have not gained acceptance for gastric cancer surgery because especially D2 lymph node dissection is a complex surgical technique (11). Some technical disadvantages unique to conventional laparoscopic surgery are also known to cause this condition.…”
Section: Discussionmentioning
confidence: 99%
“…To sum up, although it has not been clearly shown whether RAL hepatic and pancreatic surgery are superior to the laparoscopic technique in selected patients, authors report that the robotic technique can be performed safely in hepatic and pancreatic surgery. More expert studies in this field are necessary to better evaluate the long term oncological results and cost analyses of RAL hepatic and pancreatic surgery (37 (4,41,42). In addition, laparoscopic surgery has been shown to offer better postoperative comfort to the patient.…”
Section: Robotic Hepatopancreaticobiliary System Surgerymentioning
confidence: 99%