دورية أكاديمية
Minimally invasive surgery for gastric cancer in Brazil: current status and perspectives-a report from the Brazilian Laparoscopic Oncologic Gastrectomy Group (BLOGG).
| العنوان: | Minimally invasive surgery for gastric cancer in Brazil: current status and perspectives-a report from the Brazilian Laparoscopic Oncologic Gastrectomy Group (BLOGG). |
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| المؤلفون: | Kassab P; Santa Casa of Sao Paulo Medical School, Sao Paulo, Brazil.; Digestive Surgical Oncology Division, BP - A Beneficência Portuguesa de São Paulo, SP, Brazil., da Costa WL Jr; A.C. Camargo Cancer Center, Sao Paulo, Brazil., Jacob CE; University of Sao Paulo, Sao Paulo, Brazil., Cordts RM; Santa Casa of Sao Paulo Medical School, Sao Paulo, Brazil.; Digestive Surgical Oncology Division, BP - A Beneficência Portuguesa de São Paulo, SP, Brazil., Castro OAP; Santa Casa of Sao Paulo Medical School, Sao Paulo, Brazil.; Digestive Surgical Oncology Division, BP - A Beneficência Portuguesa de São Paulo, SP, Brazil., Barchi LC; University of Sao Paulo, Sao Paulo, Brazil., Cecconello I; University of Sao Paulo, Sao Paulo, Brazil., Charruf AZ; University of Sao Paulo, Sao Paulo, Brazil., Coimbra FJF; A.C. Camargo Cancer Center, Sao Paulo, Brazil., Cury AM; A.C. Camargo Cancer Center, Sao Paulo, Brazil., Diniz AL; A.C. Camargo Cancer Center, Sao Paulo, Brazil., de Farias IC; A.C. Camargo Cancer Center, Sao Paulo, Brazil., de Freitas WR Jr; Santa Casa of Sao Paulo Medical School, Sao Paulo, Brazil., de Godoy AL; A.C. Camargo Cancer Center, Sao Paulo, Brazil., Ilias EJ; Santa Casa of Sao Paulo Medical School, Sao Paulo, Brazil.; Digestive Surgical Oncology Division, BP - A Beneficência Portuguesa de São Paulo, SP, Brazil., Malheiros CA; Santa Casa of Sao Paulo Medical School, Sao Paulo, Brazil.; Digestive Surgical Oncology Division, BP - A Beneficência Portuguesa de São Paulo, SP, Brazil., Ramos MFKP; University of Sao Paulo, Sao Paulo, Brazil., Ribeiro HSC; A.C. Camargo Cancer Center, Sao Paulo, Brazil., Roncon Dias A; University of Sao Paulo, Sao Paulo, Brazil., Thuler FR; Santa Casa of Sao Paulo Medical School, Sao Paulo, Brazil., Yagi OK; University of Sao Paulo, Sao Paulo, Brazil., Lourenço LG; Sao Paulo Federal University, Paulista Medical School (UNIFESP-EPM), Sao Paulo, Brazil., Zilberstein B; Santa Casa of Sao Paulo Medical School, Sao Paulo, Brazil.; Digestive Surgical Oncology Division, BP - A Beneficência Portuguesa de São Paulo, SP, Brazil. |
| مؤلفون مشاركون: | Brazilian Gastric Cancer Association |
| المصدر: | Translational gastroenterology and hepatology [Transl Gastroenterol Hepatol] 2017 May 12; Vol. 2, pp. 45. Date of Electronic Publication: 2017 May 12 (Print Publication: 2017). |
| نوع المنشور: | Journal Article; Review |
| اللغة: | English |
| بيانات الدورية: | Publisher: AME Publishing Company Country of Publication: China NLM ID: 101683450 Publication Model: eCollection Cited Medium: Print ISSN: 2415-1289 (Print) Linking ISSN: 24151289 NLM ISO Abbreviation: Transl Gastroenterol Hepatol Subsets: PubMed not MEDLINE |
| أسماء مطبوعة: | Original Publication: Hong Kong : AME Publishing Company, [2016]- |
| مستخلص: | The minimally invasive surgery for gastric cancer in Brazil has begun about two years after the first laparoscopic gastrectomy (LG) performed by Kitano in Japan, in 1991. Although the report of first surgeries shows the year of 1993, there was no dissemination of the technique until the years 2010. At that time with the improvement of optical devices, laparoscopic instruments and with the publications coming from Asia, several Brazilian surgeons felt encouraged to go to Korea and Japan to learn the standardization of the LG. After that there was a significant increase in that type of surgery, especially after the IRCAD opened a branch in Brazil. The growing interest for the subject led some services to begin their own experience with the LG and, since the beginning, the results were similar with those found in the open surgery. Nevertheless, there were some differences with the papers published initially in Japan and Korea. In those countries, the surgeries were laparoscopic assisted, meaning that, in the majority of cases, the anastomoses were done through a mini-incision in the end of the procedure. In Brazil since the beginning it was performed completely through laparoscopic approach due to the skills acquired by Brazilian surgeons in bariatric surgeries. Another difference was the stage. While in the east the majority of cases were done in T1 patients, in Brazil, probably due to the lack of early cases, the surgeries were done also in advanced cases. The initial experience of Zilberstein et al. revealed low rates of morbidity without mortality. Comparing laparoscopic and open surgery, the group from Barretos/IRCAD showed shorter surgical time (216×255 minutes), earlier oral or enteral feeding and earlier hospital discharge, with a smaller number of harvested lymph nodes (28 in laparoscopic against 33 in open surgery). There was no significant difference regarding morbidity, mortality and reoperation rate. In the first efforts to publish a multicentric study the Brazilian Gastric Cancer Association (BGCA) collected data from three institutions analyzing 148 patients operated from 2006 to 2016. There were 98 subtotal, 48 total and 2 proximal gastrectomies. The anastomoses were totally laparoscopic in 105, laparoscopic assisted in 21, cervical in 2, and 20 open (after conversion). The reconstruction methods were: 142 Roux-en-Y, two Billroth I, and three other types. The conversion rate was 13.5% (20/148). The D2 dissection was performed in 139 patients. The mean number of harvested lymph nodes was 34.4. If we take only the D2 cases the mean number was 39.5. The morbidity rate was 22.3%. The mortality was 2.7%. The stages were: IA-59, IB-14, IIA-11, IIB-15, IIIA-9, IIIB-19, IIIC-11 and stage IV-three cases. Four patients died from the disease and 10 are alive with disease. The participating services have already begun the robotic gastrectomy with satisfactory results. The intention of this group is to begin now a prospective multicentric study to confirm the data already obtained with the retrospective studies. Competing Interests: Conflicts of Interest: The authors have no conflicts of interest to declare. |
| References: | Surg Laparosc Endosc Percutan Tech. 2009 Oct;19(5):384-7. (PMID: 19851265) Arq Bras Cir Dig. 2015;28(1):65-9. (PMID: 25861074) Arq Bras Cir Dig. 2013 Jan-Mar;26(1):2-6. (PMID: 23702862) Arq Bras Cir Dig. 2014 Apr-Jun;27(2):133-7. (PMID: 25004292) Surg Laparosc Endosc. 1994 Apr;4(2):146-8. (PMID: 8180768) Arq Bras Cir Dig. 2014 Jan-Mar;27(1):71-6. (PMID: 24676304) |
| فهرسة مساهمة: | Keywords: Cancer; laparoscopy; minimally invasive; stomach; surgery |
| تواريخ الأحداث: | Date Created: 20170616 Latest Revision: 20201001 |
| رمز التحديث: | 20221213 |
| مُعرف محوري في PubMed: | PMC5460102 |
| DOI: | 10.21037/tgh.2017.03.17 |
| PMID: | 28616601 |
| قاعدة البيانات: | MEDLINE |
| تدمد: | 2415-1289 |
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| DOI: | 10.21037/tgh.2017.03.17 |