Minimally invasive surgery for gastric cancer in USA: current status and future perspectives

Translational Gastroenterology and Hepatology
Ashley Russo, Vivian E Strong

Abstract

The World Health Organization (WHO) has declared gastric carcinoma a global health concern and gastric cancer remains the third leading cause of cancer deaths worldwide. With the rising incidence of gastric cancer, a body of both retrospective and randomized data has emerged since the early 1990's evaluating the role of minimally invasive platforms in the management of gastric cancer. While Eastern studies have shown that the laparoscopic approach is safe and feasible for advanced gastric cancer in Eastern patients, it is not clear whether this is true for patients in the West. Differences in tumor biology, stage at presentation, institutional volume, and surgeon experience all may impact the efficacy and widespread utilization of minimally invasive approaches in regions where gastric cancer is less prevalent. The majority of studies have pointed to a number of improvements associated with minimally invasive approaches including decreased blood loss, shorter length of hospital stay, lower analgesic requirements, decreased minor complications, and faster recovery without any significant difference in overall or disease specific survival (DSS). The benefits associated with minimally invasive approaches and evidence supporting sim...Continue Reading

Citations

Aug 24, 2018·Aesthetic Surgery Journal·Gino Rigotti, Salvatore Chirumbolo
Nov 22, 2019·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Rhami KhorfanRyan P Merkow
Nov 25, 2020·International Journal of Urology : Official Journal of the Japanese Urological Association·Guoxi ZhangLinwei Liu

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