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Updated: Jun 5, 2026
03:32
Single Incision Plus One Port Laparoscopic Proximal Gastrectomy with Double Channel Anastomosis for Gastric Cancer Treatment
Published on: December 27, 2024
[Surgical approach for upper gastric cancer]
Wei Li1, Xiao-wei Sun, You-qing Zhan
1Department of Gastric and Pancreatic Surgery, Sun Yat-Sen University, Guangzhou 510060, China.
Summary
For upper gastric cancer surgery, abdominal incision is often preferable. This approach offers shorter operative times and hospital stays with comparable outcomes to thoracotomy.
Area of Science:
- Surgical Oncology
- Gastrointestinal Surgery
Context:
- Upper gastric cancer presents unique surgical challenges.
- Choosing the optimal surgical approach is critical for patient outcomes.
Purpose:
- To evaluate the efficacy and safety of different surgical approaches for upper gastric cancer.
- To determine the indications for splenectomy in conjunction with upper gastric cancer resection.
Summary:
- A retrospective analysis of 803 upper gastric cancer patients compared abdominal incision with thoracotomy/abdomino-thoracic incision.
- Abdominal incision resulted in significantly shorter operative times (170 vs. 220 min) and hospital stays (21 vs. 26.6 days).
- Both approaches demonstrated similar rates of positive resection margins and overall postoperative complications.
Impact:
- Abdominal incision appears to be a favorable surgical approach for upper gastric cancer when feasible.
- Findings support tailoring surgical strategy based on individual tumor characteristics.
