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Updated: May 13, 2026

Single Incision Plus One Port Laparoscopic Proximal Gastrectomy with Double Channel Anastomosis for Gastric Cancer Treatment

Single Incision Plus One Port Laparoscopic Proximal Gastrectomy with Double Channel Anastomosis for Gastric Cancer Treatment

Published on: December 27, 2024

Function-preserving gastrectomy for early gastric cancer.

Naoki Hiki¹, Souya Nunobe, Takeshi Kubota

¹Department of Gastroenterological Surgery, Cancer Institute Ariake Hospital, Tokyo, Japan. naoki.hiki@jfcr.or.jp

Annals of Surgical Oncology

|March 19, 2013

Summary

Function-preserving gastrectomy offers benefits for early gastric cancer (EGC) treatment, including less-invasive options. However, further prospective studies are needed to confirm oncological safety and functional benefits.

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Laparoscopic Radical Gastrectomy for Remnant Gastric Cancer

Laparoscopic Radical Gastrectomy for Remnant Gastric Cancer

Published on: October 31, 2025

Area of Science:

Surgical Oncology
Gastroenterology
Minimally Invasive Surgery

Background:

Early gastric cancer (EGC) incidence is rising due to improved diagnostics.
Function-preserving gastric cancer surgery is increasingly applied for EGC.
Techniques like pylorus-preserving gastrectomy (PPG) and laparoscopy-assisted procedures are used.

Purpose of the Study:

To review function-preserving surgical techniques for EGC.
To discuss indications, limitations, and outcomes of these procedures.
To highlight the need for further prospective research.

Main Methods:

Review of retrospective studies on function-preserving gastrectomy for EGC.
Discussion of various techniques including PPG, laparoscopy-assisted proximal gastrectomy, and laparoscopy endoscopy cooperative surgery.
Analysis of potential benefits and postoperative complications.

Main Results:

Function-preserving surgeries offer less-invasive options with good survival rates for EGC.
Potential complications include reflux esophagitis, gastric stump carcinoma, and delayed gastric retention.
Laparoscopy endoscopy cooperative surgery is suitable for EGC without lymph node metastasis.

Conclusions:

Function-preserving laparoscopic gastrectomy is recommended for EGC with strict diagnostic confirmation.
While offering functional benefits, these techniques present surgical challenges and potential long-term issues.
Further large-scale prospective studies are essential to validate oncological safety and functional outcomes.