Function-Preserving Gastrectomy for Early Gastric Cancer
| العنوان: | Function-Preserving Gastrectomy for Early Gastric Cancer |
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| المؤلفون: | Takeshi Kubota, Naoki Hiki, Xiaohua Jiang, Souya Nunobe |
| المصدر: | Annals of Surgical Oncology. 20:2683-2692 |
| بيانات النشر: | Springer Science and Business Media LLC, 2013. |
| سنة النشر: | 2013 |
| مصطلحات موضوعية: | medicine.medical_specialty, medicine.medical_treatment, Gastric Bypass, Stomach surgery, Esophagus, Gastrectomy, Stomach Neoplasms, Gastroscopy, medicine, Humans, Reflux esophagitis, Laparoscopy, Pylorus, medicine.diagnostic_test, business.industry, Radical Lymph Node Dissection, Stomach, digestive, oral, and skin physiology, Surgery, Endoscopy, Early Gastric Cancer, Jejunum, medicine.anatomical_structure, Oncology, business, Organ Sparing Treatments |
| الوصف: | The number of early gastric cancer (EGC) cases has been increasing because of improved diagnostic procedures. Applications of function-preserving gastric cancer surgery may therefore also be increasing because of its low incidence of lymph node metastasis, excellent survival rates, and the possibility of less-invasive procedures such as laparoscopic gastrectomy being used in combination. Pylorus-preserving gastrectomy (PPG) with radical lymph node dissection is one such function-preserving procedure that has been applied for EGC, with the indications, limitations, and survival benefits of PPG already reported in several retrospective studies. Laparoscopy-assisted proximal gastrectomy has also been applied for EGC of the upper third of the stomach, although this procedure can be associated with the 2 major problems of reflux esophagitis and carcinoma arising in the gastric stump. In the patient with EGC in the upper third of the stomach, laparoscopy-assisted subtotal gastrectomy with a preserved very small stomach may provide a better quality of life for the patients and fewer postoperative complications. Finally, the laparoscopy endoscopy cooperative surgery procedure combines endoscopic submucosal dissection with laparoscopic gastric wall resection, which prevents excessive resection and deformation of the stomach after surgery and was recently applied for EGC cases without possibility of lymph node metastasis. Function-preserving laparoscopic gastrectomy is recommended for the treatment of EGC if the indication followed by accurate diagnosis is strictly confirmed. Preservation of remnant stomach sometimes causes severe postoperative dysfunctions such as delayed gastric retention in PPG, esophageal reflux in PG, and gastric stump carcinoma in the remnant stomach. Moreover, these techniques present technical difficulties to the surgeon. Although many retrospective studies showed the functional benefit or oncological safety of function-preserving gastrectomy, further prospective studies using large case series are necessary. |
| تدمد: | 1534-4681 1068-9265 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::c22087b2aebe09f0f3e39efd42b46c77 https://doi.org/10.1245/s10434-013-2931-8 |
| حقوق: | CLOSED |
| رقم الأكسشن: | edsair.doi.dedup.....c22087b2aebe09f0f3e39efd42b46c77 |
| قاعدة البيانات: | OpenAIRE |
Find this article in full text from Springer Verlag. | تدمد: | 15344681 10689265 |
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