Reduced port laparoscopic gastrectomy: a review, techniques, and perspective

Area of Science:

• Minimally Invasive Surgery
• Surgical Oncology
• Gastroenterology

Background:

• Reduced port laparoscopic surgery is an advancement in minimally invasive techniques.
• Single Incision Laparoscopic Surgery (SILS) represents an ultimate reduced port approach.
• Current applications include bariatric surgery and benign gastric tumor excision, offering good outcomes.

Purpose of the Study:

• To review the current status of reduced port laparoscopic gastrectomy for gastric cancer.
• To discuss the challenges, standardized procedures, and future prospects.
• To present these aspects based on existing literature and clinical experience.

Main Methods:

• Literature review of reduced port laparoscopic surgery for gastric cancer.
• Analysis of current clinical practices and outcomes.
• Discussion of standardized procedures and future directions.

Main Results:

• Reduced port laparoscopic surgery is increasingly used for benign conditions with proven safety and efficacy.
• Its application in gastric cancer surgery is nascent, with limited established data.
• The technique offers potential cosmetic benefits but requires further validation for oncologic safety.

Conclusions:

• Reduced port laparoscopic surgery is established for specific benign gastrointestinal procedures.
• Further research and standardization are crucial for its widespread adoption in gastric cancer treatment.
• The technique holds promise, but oncologic outcomes and safety in complex cases need continued evaluation.