title: [Current status and evaluation of laparoscopic surgery for gastric cancer].
abstract: Laparoscopic surgery for gastric cancer in Japan has been established as a treatment for early gastric cancer after technical improvements, development of instruments, and efforts of surgeons. The technigue was extended to some advanced gastric cancers and now plays an important role in the gastric cancer treatment strategy with open surgery and endoscopic mucosal resection. Laparoscopic surgery for early gastric cancer has been evaluated as less invasive, offering radical cure, and safe in several clinical trials and case-control studies. However, the accumulation of more cases and additional basic research are necessary before adapting laparoscopic surgery for advanced gastric cancer. A large-scale, randomized, controlled study will be carried out in early gastric cancer, and, as a result, scientific and objective evaluation of laparoscopic surgery for gastric cancer will be possible in the near future.
authors.affiliation: Esophago-gastric Surgery, Tokyo Medical and Dental University.
authors.forename: Kazuyuki
authors.initials: K
authors.lastname: Kojima
authors.forename: Hiroyuki
authors.initials: H
authors.lastname: Yamada
authors.forename: Mikito
authors.initials: M
authors.lastname: Inokuchi
authors.forename: Mikiko
authors.initials: M
authors.lastname: Hayashi
authors.forename: Yoshihisa
authors.initials: Y
authors.lastname: Sekita
authors.forename: Tatuyuki
authors.initials: T
authors.lastname: Kawano
authors.forename: Kenichi
authors.initials: K
authors.lastname: Sugihara
mesh_terms: D005743:Gastrectomy / Q000379:methods / Q000639:trends; D006801:Humans; D010535:Laparoscopy / Q000379:methods / Q000639:trends; D008197:Lymph Node Excision / Q000379:methods / Q000639:trends; D011379:Prognosis; D016032:Randomized Controlled Trials as Topic; D013274:Stomach Neoplasms / Q000601:surgery*