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Updated: Feb 8, 2026
10:31
Intraoperative Gastroscopy for Tumor Localization in Laparoscopic Surgery for Gastric Adenocarcinoma
Published on: August 9, 2016
13.4K
Laparoscopic proximal gastrectomy for gastric neoplasms
Moshim Kukar1, Emmanuel Gabriel2, Kfir Ben-David3
1Department of Surgical Oncology, Roswell Park Cancer Institute, Buffalo, New York.
Journal of Surgical Oncology
|June 20, 2018
Summary
Laparoscopic proximal gastrectomy (LPG) offers a safe alternative to total gastrectomy for select upper stomach and GE junction cancers, with comparable oncologic outcomes and reduced complications.
Area of Science:
- Surgical Oncology
- Minimally Invasive Surgery
Background:
- Proximal gastrectomy is an option for distal gastroesophageal junction or proximal stomach cancers.
- Laparoscopic proximal gastrectomy (LPG) offers perioperative benefits over total gastrectomy for select tumors.
Purpose of the Study:
- To describe the methodology of laparoscopic proximal gastrectomy (LPG).
- To evaluate the safety and efficacy of LPG in a patient cohort.
Main Methods:
- Detailed description of LPG technique, including preoperative assessment and postoperative care.
- Surgical procedure illustrated with key steps.
Main Results:
- Six patients underwent LPG (median age 70, significant comorbidities).
- All patients achieved negative margins with adequate lymph node dissection.
- Median length of stay was 7 days; low morbidity observed, with 1 recurrence at 11 months median follow-up.
Conclusions:
- LPG is a safe and viable alternative to total gastrectomy for carefully selected patients.
- LPG demonstrates similar oncologic outcomes and low morbidity compared to traditional methods.
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