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Minimal invasive gastric surgery: A systematic review
Kirti Bushan1, Sanjay Sharma2, Niket Attarde2
1Asian Institute of Oncology, Mumbai, Maharashtra, India.
South Asian Journal of Cancer
|March 5, 2016
Summary
Laparoscopic gastrectomy (LG) offers a safe and effective alternative to open surgery for gastric adenocarcinomas, demonstrating good short-term outcomes. Long-term survival data for LG are still emerging but show promise.
Area of Science:
- Surgical Oncology
- Gastrointestinal Surgery
Background:
- Laparoscopic gastrectomy (LG) is increasingly accepted as an alternative to open surgery for gastric adenocarcinoma.
- This minimally invasive approach is gaining traction in numerous surgical centers worldwide.
Purpose of the Study:
- To compare the oncologic adequacy and safety of LG versus open surgery for gastric adenocarcinomas.
- The review focuses on lymphadenectomy, short-term outcomes (morbidity, mortality), and long-term survival (5-year overall and disease-free survival).
Main Methods:
- A comprehensive literature search was conducted on PubMed for English articles published between January 2000 and April 2014.
- The initial search yielded 875 entries, which were subsequently screened to select 59 relevant manuscripts for this review.
Main Results:
- High-quality evidence supports the short-term efficacy, safety, and feasibility of LG for gastric adenocarcinomas.
- While short-term outcomes are well-documented, data on long-term survival following LG are less frequent.
Conclusions:
- Laparoscopic gastrectomy is a viable and safe option for treating gastric adenocarcinomas, with favorable short-term results.
- Further research and reporting on long-term oncologic outcomes are needed to fully establish LG's superiority or equivalence to open surgery.
