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Gastrectomía laparoscópica

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28 papers 25 to 100 followers
Taeil Son, Woo Jin Hyung
Laparoscopic gastrectomy has been widely accepted as a standard alternative for the treatment of early-stage gastric adenocarcinoma because of its favorable short-term outcomes. Although controversies exist, such as establishing clear indications, proper preoperative staging, and oncologic safety, experienced surgeons and institutions have applied this approach, along with various types of function-preserving surgery, for the treatment of advanced gastric cancer. With technical advancement and the advent of state-of-the-art instruments, indications for laparoscopic gastrectomy are expected to expand as far as locally advanced gastric cancer...
January 14, 2016: World Journal of Gastroenterology: WJG
Jennifer Straatman, Nicole van der Wielen, Miguel A Cuesta, Elly S M de Lange-de Klerk, Elise P Jansma, Donald L van der Peet
Minimally invasive surgical techniques for gastric cancer are gaining more acceptance worldwide as an alternative to open resection. In order to assess the role of minimally invasive and open techniques in total gastrectomy for cancer, a systematic review and meta-analysis was performed. Articles comparing minimally invasive versus open total gastrectomy were reviewed, collected from the Medline, Embase, and Cochrane databases. Two different authors (JS and NW) independently selected and assessed the articles...
January 2016: World Journal of Surgery
Georgios D Lianos, Stefano Rausei, Laura Ruspi, Federica Galli, Alberto Mangano, Dimitrios H Roukos, Gianlorenzo Dionigi, Luigi Boni
Nowadays, our understanding of gastric cancer has been improved. The major hope is to increase the survival rates of this aggressive, enigmatic and heterogeneous disease, especially in Western population. Over the past decades, conventional surgery has been the cornerstone of treatment for non metastatic gastric cancer patients. Adequate gastrectomy is recommended for at least T2-4a tumors, while T4b tumors require resection of involved structures. However, in the era of advanced technology, minimally invasive surgical approaches are in the top of the scientific interest...
December 2014: International Journal of Surgery
Ke Chong-Wei, Chen Dan-Lei, Ding Dan
OBJECTIVE: Reconstruction of the digestive tract involving esophageal anastomosis after laparoscopic gastrectomy is a surgically difficult procedure. In this study, a newly developed transoral pretilted circular anvil, a "the oral to the abdomen" method, was proven to be effective. METHOD: A total of 34 consecutive patients underwent esophageal anastomosis using the OrVil in our hospital from July 2009 to February 2011. The esophagus was transected and a small hole was then made in the esophageal stump through which the nasogastric tube of the OrVil was passed to insert the anvil into the abdominal cavity...
June 2013: Surgical Laparoscopy, Endoscopy & Percutaneous Techniques
Arianne N Theodorous, William W Train, Michael A Goldfarb, Frank J Borao
BACKGROUND AND OBJECTIVES: Recent studies have supported minimally invasive techniques as a viable alternative to open surgery in the treatment of gastric cancer. The goal of this study is to review our institution's experience with totally laparoscopic gastrectomy for the treatment of both early- and advanced-stage gastric cancer. METHODS: A retrospective study was conducted to examine the short-term outcomes of laparoscopic gastrectomy performed at Monmouth Medical Center between May 2003 and June 2012...
October 2013: JSLS: Journal of the Society of Laparoendoscopic Surgeons
Joseph D Phillips, Alexander P Nagle, Nathaniel J Soper
Gastric cancer is common worldwide. Tumor location and disease stage differ between Asian and Western countries. Western patients often have higher BMIs and comorbidities that may make laparoscopic resections challenging. Multiple trials from Asian countries demonstrate the benefits of laparoscopic gastrectomy for early gastric cancer while maintaining equivalent short-term and long-term oncologic outcomes compared with open surgery. The outcomes of laparoscopy seem to offer equivalent results to open surgery...
January 2013: Surgical Oncology Clinics of North America
Fumihiro Yoshimura, Kazuki Inaba, Yuichiro Kawamura, Yoshinori Ishida, Keizo Taniguchi, Jun Isogaki, Seiji Satoh, Seiichiro Kanaya, Yoichi Sakurai, Ichiro Uyama
BACKGROUND: Although laparoscopic gastrectomy has been recognized as a treatment of early gastric cancer, the indication for laparoscopic gastrectomy with D2 lymph node dissection has remained controversial. D2 lymph node dissection is considered to be feasible for advanced gastric cancer in some high-volume institutions specifically trained for the laparoscopic procedure. This study was undertaken to determine the clinical outcome and clinicopathological characteristics of patients who showed recurrence following laparoscopic gastrectomy for advanced gastric cancer...
2011: Digestion
Tae Han Kim, Hyun Kang, Yoo Shin Choi, Joong Min Park, Kyong Choun Chi, Hwa Yong Shin, Joon Hwa Hong
BACKGROUND: The preemptive intravenous injection of local anesthetics is known to improve postoperative pains in abdominal surgery. The aim of this study is to assess the effect of intravenous lidocaine injection and analyze the precise amount of pain by computerized patient-controlled analgesia (PCA) in patients who had undergone laparoscopy-assisted distal gastrectomy (LADG). PATIENTS AND METHODS: A double-blind placebo control study was designed, and 34 patients undergoing LADG for early gastric cancer were divided into two groups...
August 2013: Journal of Laparoendoscopic & Advanced Surgical Techniques. Part A
Vivian E Strong
No abstract text is available yet for this article.
March 1, 2014: Journal of Clinical Oncology: Official Journal of the American Society of Clinical Oncology
Ke Chen, Yu Pan, Jia-Qin Cai, Xiao-Wu Xu, Di Wu, Yi-Ping Mou
AIM: To systematically review the surgical outcomes of totally laparoscopic gastrectomy (TLG) vs open gastrectomy (OG) for gastric cancer. METHODS: A systematic search of PubMed, Embase, Cochrane Library, and Web of Science was conducted. All original studies comparing TLG with OG were included for critical appraisal. Data synthesis and statistical analysis were carried out using RevMan 5.1 software. RESULTS: One RCT and 13 observational studies involving 1532 patients were included (721 TLG and 811 OG)...
November 14, 2014: World Journal of Gastroenterology: WJG
Deok Gie Kim, Hyoung-Il Kim, Ali Guner, In Cho, In Gyu Kwon, Yoon Young Choi, Hyun Baek Shin, Woo Jin Hyung
BACKGROUND: To provide an optimal operative view for upper abdominal laparoscopic surgery, we developed a liver retraction method using a double-sling suture (DSS). The current report describes this method and compares the clinical results with the liver puncture (LP) retraction method. MATERIALS AND METHODS: The data and video recordings of patients who underwent laparoscopic gastrectomy for gastric adenocarcinoma by a single surgeon from May 2009 to October 2013 were retrospectively analyzed...
February 2015: Journal of Laparoendoscopic & Advanced Surgical Techniques. Part A
Yanfeng Hu, Mingang Ying, Changming Huang, Hongbo Wei, Zhiwei Jiang, Xiang Peng, Jiankun Hu, Xiaohui Du, Baolin Wang, Feng Lin, Jian Xu, Guanglong Dong, Tingyu Mou, Guoxin Li
BACKGROUND: Laparoscopy-assisted gastrectomy (LAG) has been indicated to be safe, feasible, and oncologically efficacious for the treatment of early gastric cancer by both retrospective and prospective studies. Although some reports have demonstrated that LAG was also a safe and technically feasible procedure for advanced gastric cancer (AGC), its oncologic outcomes have not yet been confirmed in a multicenter, large-scale study. The aim of this study was to evaluate the oncologic outcomes of LAG for AGC on a multicenter basis in China...
July 2014: Surgical Endoscopy
Yoon Young Choi, Jung Min Bae, Ji Yeong An, Woo Jin Hyung, Sung Hoon Noh
BACKGROUND AND OBJECTIVE: Laparoscopic gastrectomy (LG) for gastric cancer has been adopted to treat both early and locally advanced gastric cancer (AGC), but there are still concerns about its oncologic safety especially in AGC. The purpose of this meta-analysis is to compare the long-term outcomes of LG with those of open gastrectomy (OG) in patients with AGC. METHODS: The quantitative synthesis of outcomes of studies from three major databases, PubMed, Embase, and the Cochrane Central, was performed using common keywords related to gastric cancer and laparoscopy on July 31, 2012...
December 2013: Journal of Surgical Oncology
Hirofumi Sugita, Kazuyuki Kojima, Mikito Inokuchi, Keiji Kato
BACKGROUND: Laparoscopic gastrectomy (LG) has been established as a procedure for the treatment of gastric cancer. However, there have been few reports on the long-term outcomes of LG for gastric cancer. The aim of this study is to investigate the long-term outcomes of LG for gastric cancer. METHODS: A total of 278 consecutive patients who underwent LG in our unit between January 1999 and December 2006 were included in this study. Survival, recurrence, and late gastrointestinal complications were analyzed...
January 2015: Journal of Surgical Research
M Nakagawa, K Kojima, M Inokuchi, K Kato, H Sugita, T Kawano, K Sugihara
BACKGROUND: To clarify the patterns, timing and risk factors of recurrence of gastric cancer after laparoscopic gastrectomy. METHODS: From January 1999 to March 2012, 577 patients underwent laparoscopic or laparoscopy-assisted gastrectomy for curative resection of gastric cancer. Recurrence patterns were classified as locoregional, hematogenous, peritoneal, distant lymph node and mixed. Recurrence patterns and time to recurrence were retrospectively examined and risk factors for recurrence were analyzed...
October 2014: European Journal of Surgical Oncology
Hyuk-Joon Lee, Han-Kwang Yang
Laparoscopic gastrectomy for gastric cancer is rapidly becoming popular because of the technical developments and the accumulated data of laparoscopic surgery in gastric cancer patients. The aim of this review is to present the current body of evidence and to highlight controversial issues of laparoscopic gastrectomy for gastric cancer. Laparoscopic distal gastrectomy (LDG) provides better or comparable outcomes compared to conventional open distal gastrectomy (ODG) in terms of short-term results. The long-term survival of LDG is expected to be comparable to that of ODG in early-stage gastric cancer, and an ongoing Korean multicenter randomized controlled trial (KLASS-01) will provide more clear evidence...
2013: Digestive Surgery
Tomoyuki Irino, Naoki Hiki, Manabu Ohashi, Souya Nunobe, Takeshi Sano, Toshiharu Yamaguchi
BACKGROUND: Thermal injury and unexpected bleeding caused by ultrasonic scalpels can lead to fatal complications in laparoscopic gastrectomy (LG), such as postoperative pancreatic fistulas (POPF). In this study, we developed the "Hit and Away" protocol for optimal usage of the ultrasonic scalpel, which in essence involves dividing tissues and vessels in batches using the tip of the scalpel to control tissue temperature. METHODS: To assess the effectiveness of the technique, the surface temperature of the mesocolon of female swine after ultrasonic scalpel activations was measured, and tissue samples were collected to evaluate microscopic thermal injury to the pancreas...
January 2016: Surgical Endoscopy
Sang-Yong Son, Do-Hyun Jung, Chang Min Lee, Sang-Hoon Ahn, Hye Seong Ahn, Do Joong Park, Hyung-Ho Kim
BACKGROUND: High body mass index (BMI) and high visceral fat area (VFA) are known to be a preoperative risk factor for laparoscopic gastrectomy (LG) for gastric cancer. However, the impact of obesity on LG still remains controversial. In the present study, we compared the operative outcomes of LG with those of OG in patients with BMI of 30 kg/m(2) or more. METHODS: Seventy-seven patients who underwent distal or total gastrectomy for gastric cancer were enrolled...
August 2015: Surgical Endoscopy
Yasuhiko Mohri, Hiromi Yasuda, Masaki Ohi, Koji Tanaka, Susumu Saigusa, Masato Okigami, Tadanobu Shimura, Minako Kobayashi, Masato Kusunoki
BACKGROUND: Elderly patients are regarded as being at increased risk during major abdominal surgery because of a lack of functional reserve and an increased number of comorbidities. The aim of this study was to compare short- and long-term outcomes of laparoscopic gastrectomy between elderly and young gastric cancer patients. METHODS: Two-hundred ten patients who underwent laparoscopic gastrectomy for gastric cancer at our institution between January 2001 and December 2011 were included in this retrospective study...
June 2015: Surgical Endoscopy
Junhyun Lee, Wook Kim
BACKGROUND: Laparoscopic gastrectomy (LG) for locally advanced gastric cancer (AGC) as well as early gastric cancer (EGC) has gradually gained popularity. However, long-term experiences of LG for AGC as well as EGC rarely have been reported. METHODS: A total of 528 patients with gastric cancer were enrolled in the study, and clinical experiences of LG were evaluated. RESULTS: The study included 332 men and 196 women. The mean age was 61.3 ± 11...
May 2013: Surgery
2015-05-01 16:11:13
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