scholarly journals Current Status and Trends of Minimally Invasive Gastrectomy in Korea

Medicina ◽  
2021 ◽  
Vol 57 (11) ◽  
pp. 1195
Author(s):  
Shin-Hoo Park ◽  
Jong-Min Kim ◽  
Sung-Soo Park
Keyword(s):  
Gastric Cancer ◽  
Laparoscopic Gastrectomy ◽  
Single Incision ◽  
Gastrointestinal Surgery ◽  
Surgical Techniques ◽  
Current Status ◽  
New Era ◽  
Image Guided ◽  
Reduced Port

Since its introduction in the early 1990s, laparoscopic gastrectomy has been widely accepted for the treatment of gastric cancer worldwide. In the last decade, the Korean Laparoendoscopic Gastrointestinal Surgery Study group performed important clinical trials and exerted various efforts to enhance the quality of scientific knowledge and surgical techniques in the field of gastric cancer surgery. Laparoscopic gastrectomy has shifted to a new era in Korea due to recent advances and innovations in technology. Here, we discuss the recent updates of laparoscopic gastrectomy—namely, reduced-port, single-incision, robotic, image-guided, and oncometabolic surgery.

Reduced-port gastrectomy for gastric cancer with similar port arrangement to conventional five-port laparoscopic gastrectomy

2017 ◽  
Vol 2 ◽  
pp. 73-73
Author(s):  
Kazunari Misawa ◽  
Seiji Ito ◽  
Yuichi Ito ◽  
Itaru Shigeyoshi ◽  
Koji Komori ◽  
...  
Keyword(s):  
Gastric Cancer ◽  
Laparoscopic Gastrectomy ◽  
Reduced Port

scholarly journals The Advances of Laparoscopic Gastrectomy for Gastric Cancer

2017 ◽  
Vol 2017 ◽  
pp. 1-12 ◽  
Author(s):  
Yeon-Ju Huh ◽  
Joo-Ho Lee
Keyword(s):  
Gastric Cancer ◽  
Minimally Invasive Surgery ◽  
Minimally Invasive ◽  
Invasive Surgery ◽  
Laparoscopic Gastrectomy ◽  
Minimal Invasive ◽  
Long Term Outcomes ◽  
Short And Long Term

Laparoscopic gastrectomy is evolving. With the increasing expertise and experience of oncologic surgeons in the minimally invasive surgery for gastric cancer, the indication for laparoscopic gastrectomy is expanding to advanced cases. Many studies have demonstrated the benefits of minimally invasive surgery, including reduced risk of surgery-related injury, reduced blood loss, less pain, and earlier recovery. In order to establish concrete evidence for the suitability of minimal invasive surgery for gastric cancer, many multicenter RCTs, comparing the short- and long-term outcomes of laparoscopic versus open surgery, are in progress. Advances in laparoscopic gastrectomy are moving toward increasingly minimally invasive approaches that enable the improvement of the quality of life of patients, without compromising on oncologic safety.

scholarly journals Organ-Preserving Surgery for Penile Carcinoma

2008 ◽  
Vol 2008 ◽  
pp. 1-7 ◽  
Author(s):  
Francisco E. Martins ◽  
Raul N. Rodrigues ◽  
Tomé M. Lopes
Keyword(s):  
Quality Of Life ◽  
Negative Impact ◽  
Psychological Impact ◽  
Surgical Techniques ◽  
Penile Carcinoma ◽  
Current Status ◽  
Radical Radiotherapy ◽  
Surgical Options ◽  
Cosmetic Outcomes

Introduction. Penile carcinoma has traditionally been treated by either surgical amputation or radical radiotherapy, both associated with devastating anatomical, functional, and psychological impact on the patient's life. Innovative surgical techniques have focused on penile preservation in well-selected patients to minimize physical disfigurement and consequently maximize quality of life. The objective of this article is to define the current status of these organ-preserving surgical options for penile carcinoma.Materials and Methods. An extensive review of the Pubmed literature was performed to find articles discussing only reconstructive surgery which have contributed significantly to change traditional, frequently mutilating treatments, to develop less disfiguring surgery, and to improve patients' quality of life over the last two decades.Results. Several articles were included in this analysis in which a major contribution to the change in therapy was thought to have occurred and was documented as beneficial. Some articles reported novel techniques of less-mutilating surgery involving different forms of glans reconstruction with the use of flaps or grafts. The issue of safe surgical margins was also addressed.Conclusion. The development of less-disfiguring techniques allowing phallus preservation has reduced the negative impact on functional and cosmetic outcomes of amputation without sacrificing oncological objectives in appropriately selected patients based on stage, grade, and location of the tumour. Until more prospective studies are available and solid evidence is documented, organ preservation should be offered with caution.

scholarly journals Function-Preserving Gastrectomy for Early Gastric Cancer

Cancers ◽  
2021 ◽  
Vol 13 (24) ◽  
pp. 6223
Author(s):  
Yoshihiro Hiramatsu ◽  
Hirotoshi Kikuchi ◽  
Hiroya Takeuchi
Keyword(s):  
Gastric Cancer ◽  
Early Gastric Cancer ◽  
Minimally Invasive ◽  
Proximal Gastrectomy ◽  
Surgical Techniques ◽  
Current Status ◽  
Navigation Surgery ◽  
Sentinel Node Navigation Surgery ◽  
Term Survival ◽  
Near Future

Recently, minimally invasive (endoscopic or laparoscopic) treatment for early gastric cancer (EGC) has been widely accepted. However, a standard gastrectomy with radical lymphadenectomy is generally performed in patients with EGC who have no indications for endoscopic resection, and postgastrectomy dysfunction is one of the problems of standard gastrectomy. Function-preserving gastrectomy, such as proximal gastrectomy and pylorus-preserving gastrectomy, can be considered when attempting to preserve the patient’s quality of life (QOL) postoperatively. In addition, sentinel node navigation surgery for EGC has been applied in clinical practice in several prospective studies on function-preserving personalized minimized gastrectomy. In the near future, the sentinel lymph node concept is expected to form the basis for establishing an ideal, personalized, minimally invasive function-preserving treatment for patients with EGC, which will improve their postoperative QOL without compromising their long-term survival. In this review article, we summarize the current status, surgical techniques, and postoperative outcomes of function-preserving gastrectomy for EGC.

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