title: Comparison of three different minimally invasive procedures of distal gastrectomy for Nonoverweight patients with T1N0-1 gastric cancer.
abstract: Laparoscopic-assisted distal gastrectomy has recently come to be a standard procedure for the treatment of early gastric cancer (1 - 5) in select patients. The minimal invasiveness associated with laparoscopic procedures for the resection of gastrointestinal cancer has been repeatedly explained in part by the short incision that is required. (6 - 11) We used two different approaches to perform distal gastrectomies for the resection of gastric cancer as minimally invasive alternatives to a standard laparoscopic approach prior to our surgical team's complete mastery of the skills required for laparoscopic oncological surgery for gastric cancer. (9 , 12) If the minimal invasiveness associated with laparoscopic-assisted gastrectomy can be explained by the small incision, a gastrectomy via a small incision without the use of a pneumoperitoneum may provide a similar outcome in patients. However, to our knowledge, such a comparison has not been previously made. We compared the minimal invasiveness of three different approaches (minilaparotomy, minilaparotomy approach with laparoscopic assistance, and standard laparoscopic-assisted approach) to performing a distal gastrectomy for T1N0-1 gastric cancer in nonoverweight patients (body mass index, ≤ 25 kg/m(2)) performed within a limited study period.
authors: Department of Digestive Tract and General Surgery, Saitama Medical Center, Saitama Medical University, Saitama, Japan.
authors: Norihiro
authors: N
authors: Haga
authors: Toru
authors: T
authors: Ishiguro
authors: Kouki
authors: K
authors: Kuwabara
authors: Kensuke
authors: K
authors: Kumamoto
authors: Youichi
authors: Y
authors: Kumagai
authors: Hiroyuki
authors: H
authors: Baba
authors: Keiichiro
authors: K
authors: Ishibashi
authors: Hideyuki
authors: H
authors: Ishida
mesh_terms: D014408:Biomarkers, Tumor / Q000032:analysis; D005260:Female; D005743:Gastrectomy / Q000379:methods*; D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D007813:Laparotomy / Q000379:methods*; D008197:Lymph Node Excision; D008297:Male; D009367:Neoplasm Staging; D012189:Retrospective Studies; D013274:Stomach Neoplasms / Q000473:pathology* / Q000601:surgery*; D016896:Treatment Outcome
chemical_list: D014408:Biomarkers, Tumor
references: J Gastrointest Surg. 2012 Apr;16(4):738-43
references: 22160781
references: J Gastrointest Surg. 2010 Feb;14(2):289-94
references: 19904576
references: Surg Endosc. 2005 Mar;19(3):316-20
references: 15624066
references: Surg Today. 2003;33(6):414-20
references: 12768366
references: Hepatogastroenterology. 2003 May-Jun;50(51):883-5
references: 12828110
references: Surg Laparosc Endosc Percutan Tech. 2011 Jun;21(3):155-61
references: 21654298
references: Ann Surg. 2003 Nov;238(5):680-5
references: 14578729
references: Int J Surg. 2010;8(8):643-7
references: 20713190
references: World J Surg. 2011 Jul;35(7):1469-77
references: 21476116
references: Hepatogastroenterology. 2003 Nov-Dec;50(54):2279-81
references: 14696517
references: Gastric Cancer. 1998 Dec;1(1):10-24
references: 11957040
references: Tech Coloproctol. 2010 Jun;14(2):153-9
references: 20428914
references: Dis Colon Rectum. 1996 Jan;39(1):15-22
references: 8601351
references: Surg Oncol. 2009 Dec;18(4):322-33
references: 18922689
references: Surg Endosc. 2011 May;25(5):1395-401
references: 20972584
references: Dig Surg. 2011;28(5-6):331-7
references: 21934308
references: Gastric Cancer. 2006;9(4):303-7
references: 17235633
references: J Gastrointest Surg. 2008 Apr;12(4):695-700
references: 17968633
references: Eur Surg Res. 2011;47(4):205-10
references: 22004901
references: Int Surg. 2011 Apr-Jun;96(2):127-34
references: 22026303
references: Ann Surg. 2004 Aug;240(2):205-13
references: 15273542
references: Gastric Cancer. 2012 Apr;15(2):124-30
references: 21842173
references: J Surg Oncol. 2012 Mar;105(3):297-303
references: 21952834
references: Surgery. 2005 Mar;137(3):317-22
references: 15746786
references: Int Surg. 2011 Apr-Jun;96(2):104-10
references: 22026299