Current status of laparoscopic gastrectomy for cancer in Japan
- 29 December 2003
- journal article
- review article
- Published by Springer Science and Business Media LLC in Surgical Endoscopy
- Vol. 18 (2), 182-185
- https://doi.org/10.1007/s00464-003-8820-7
Abstract
Because of the increased incidence of early gastric cancer in Japan, minimally invasive laparoscopic approaches to gastric malignancies have been under development since 1991. Laparoscopic local resection of the stomach, i.e., laparoscopic wedge resection (LWR) and intragastric mucosal resection (IGMR), is used to treat mucosal cancer without lymph node metastasis. Laparoscopy-assisted distal gastrectomy (LADG) is used to treat early gastric cancer with risk factors for regional lymph node metastasis. A survey conducted by the Japan Society for Endoscopic Surgery showed that 1428 LWRs, 260 IGMRs, and 2600 LADGs were performed between 1991 and 2001 in departments of endoscopic surgery in Japan. Laparoscopic gastrectomy for gastric cancer is still under development in Japan. According to short-term results reported by a small group of surgeons, laparoscopic approaches to gastric cancer provide for minimal invasion, early recovery, and decreased morbidity and mortality. If the advantages can be confirmed in one or more multicenter randomized control studies of the long-term outcome of patients undergoing laparoscopic gastrectomy for gastric cancer, the procedure should come into wide acceptance and use.Keywords
This publication has 23 references indexed in Scilit:
- Laparoscopy-assisted Billroth-I Gastrectomy (LADG) for Cancer: Our 10 Years' ExperienceSurgical Laparoscopy, Endoscopy & Percutaneous Techniques, 2002
- Gastric cancer treatment guidelines in JapanGastric Cancer, 2002
- A randomized controlled trial comparing open vs laparoscopy-assisted distal gastrectomy for the treatment of early gastric cancer: An interim reportSurgery, 2002
- Evaluation of the cost for laparoscopic-assisted Billroth I gastrectomySurgical Endoscopy, 2001
- Laparoscopy for Gastric TumorsSurgical Oncology Clinics of North America, 2001
- Laparoscopic intragastric surgery using a radially expandable sleeve.Surgical Endoscopy, 2000
- Completely laparoscopic extraperigastric lymph node dissection for gastric malignancies located in the middle or lower third of the stomachGastric Cancer, 1999
- Rate of detection of lymph node metastasis is correlated with the depth of submucosal invasion in early stage gastric carcinomaCancer, 1999
- Transgastrostomal endoscopic surgery for early gastric carcinoma and submucosal tumor.Surgical Endoscopy, 1999
- Indication for and outcome of laparoscopy-assisted Billroth I gastrectomyBritish Journal of Surgery, 1999