Minimally invasive treatment for gastric cancer: Approaches and selection process

Minimally invasive treatment of gastric cancer has emerged as a result of the technical advances, better understanding of gastric physiology, and more knowledge of the biologic behavior of gastric cancer. This treatment results in improved quality of life embodied by smaller incisions, reduced lengt...

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Bibliographic Details
Published in:Journal of surgical oncology 2005-06, Vol.90 (3), p.188-193
Main Authors: Noh, Sung Hoon, Hyung, Woo Jin, Cheong, Jae-Ho
Format: Article
Language:English
Subjects:
endoscopic mucosal resection
function-preserving surgery
Gastrectomy - methods
gastric cancer
Gastric Mucosa - surgery
Gastroscopy
Humans
laparoscopic surgery
Laparoscopy
limited resection
Lymph Node Excision
Lymph Nodes - pathology
Lymphatic Metastasis
Minimally Invasive Surgical Procedures
minimally invasive treatment
Neoplasm Staging
Randomized Controlled Trials as Topic
Stomach Neoplasms - pathology
Stomach Neoplasms - surgery
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Summary:Minimally invasive treatment of gastric cancer has emerged as a result of the technical advances, better understanding of gastric physiology, and more knowledge of the biologic behavior of gastric cancer. This treatment results in improved quality of life embodied by smaller incisions, reduced length of hospital stay, and a faster return to productive life. However, minimally invasive treatment for gastric cancer must take into consideration the potential effects of these techniques on tumor dissemination at the time of the treatment procedure, as well as the rates of recurrence and overall survival. Several technical treatment approaches to gastric cancer have now become possible, utilizing endoscopy, laparoscopy, or an open method. Endoscopic mucosal resection (EMR), limited resection, and laparoscopic surgical resection are the currently practiced modalities as the minimally invasive treatment. Lymph node dissection with the minimally invasive techniques is a barrier to its wide application. Although it is not commonly performed in Western countries, the use of minimally invasive treatment for gastric cancer is growing, especially in Korea and Japan. Minimally invasive treatment for early gastric cancer (EGC) has already been shown to be safe and effective in many retrospective series though no prospective randomized studies comparing it to open resection have been performed. Therefore, routine implementation of these procedures must await confirmatory outcomes generated by well‐done randomized prospective clinical trials. J. Surg. Oncol. 2005;90:188–193. © 2005 Wiley‐Liss, Inc.
ISSN:0022-4790
1096-9098
DOI:10.1002/jso.20228