J Korean Med Assoc.  2010 Apr;53(4):311-317. 10.5124/jkma.2010.53.4.311.

Laparoscopic Surgery for Early Gastric Cancer

• Han SU

• KMID: 2188298
• DOI: http://doi.org/10.5124/jkma.2010.53.4.311

Abstract

The incidence of early gastric cancer has been increasing in Korea, and minimally invasive surgeries such as endoscopic resection and laparoscopic surgery, have also been increasing in terms of operations performed. Recent studies show that laparoscopic gastrectomy is a safe technical alternative to open gastrectomy for early gastric cancer with a lower overall complication rate and enhanced postoperative recovery. A retrospective large scale multi-center study from Korean Laparoscopic Gastrointestinal Study (KLASS) Group reported excellent short-term outcome including feasibility, safety, and effectiveness as well as satisfactory long-term oncologic outcome. We are still waiting for the results from randomized controlled trials of laparoscopic versus open gastrectomy for early gastric cancer patients designed by KLASS which will provide the conclusive evidential support for laparoscopic surgery.

Keyword

Early gastric cancer; Laparoscopic surgery; Minimally invasive surgery

MeSH Terms

Gastrectomy
Humans
Incidence
Korea
Laparoscopy
Retrospective Studies
Stomach Neoplasms

Figure

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  Figure 1 Live retraction with prolene which was sutured on hepatogastric ligament.

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  Figure 2 Laparoscopic lymph node dissection. Midcolic vein and superior mesensteric vein was exposed after removal of 14v lymph nodes. Arrow is superior mesenteric vein.

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  Figure 3 Laparoscopic lymph node dissection. Common hepatic artery was exposed after removal of 7, 8a, 11p lymph nodes. Arrow is common hepatic artery.

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  Figure 4 Totally laparoscopic distal gastrectomy with Billroth I reconstruction.

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