title: Laparoscopic gastric cancer surgery: Current evidence and future perspectives.
abstract: Laparoscopic gastrectomy has been widely accepted as a standard alternative for the treatment of early-stage gastric adenocarcinoma because of its favorable short-term outcomes. Although controversies exist, such as establishing clear indications, proper preoperative staging, and oncologic safety, experienced surgeons and institutions have applied this approach, along with various types of function-preserving surgery, for the treatment of advanced gastric cancer. With technical advancement and the advent of state-of-the-art instruments, indications for laparoscopic gastrectomy are expected to expand as far as locally advanced gastric cancer. Laparoscopic gastrectomy appears to be promising; however, scientific evidence necessary to generalize this approach to a standard treatment for all relevant patients and care providers remains to be gathered. Several multicenter, prospective randomized trials in high-incidence countries are ongoing, and results from these trials will highlight the short- and long-term outcomes of the approach. In this review, we describe up-to-date findings and critical issues regarding laparoscopic gastrectomy for gastric cancer.
authors.affiliation: Taeil Son, Woo Jin Hyung, Department of Surgery, Yonsei University College of Medicine, Seoul 120-752, South Korea.
authors.forename: Taeil
authors.initials: T
authors.lastname: Son
authors.affiliation: Taeil Son, Woo Jin Hyung, Department of Surgery, Yonsei University College of Medicine, Seoul 120-752, South Korea.
authors.forename: Woo Jin
authors.initials: WJ
authors.lastname: Hyung
mesh_terms: D000230:Adenocarcinoma / Q000473:pathology / Q000601:surgery*; D004059:Diffusion of Innovation; D019317:Evidence-Based Medicine; D005544:Forecasting; D005743:Gastrectomy / Q000009:adverse effects / Q000379:methods* / Q000639:trends; D006801:Humans; D010535:Laparoscopy / Q000009:adverse effects / Q000639:trends; D011183:Postoperative Complications / Q000209:etiology; D013274:Stomach Neoplasms / Q000473:pathology / Q000601:surgery*; D016896:Treatment Outcome
keywords: Advanced gastric cancer; Early gastric cancer; Gastrectomy; Laparoscopic resection; Minimally invasive surgery; Stomach neoplasms
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