J Minim Invasive Surg.  2018 Dec;21(4):141-147. 10.7602/jmis.2018.21.4.141.

Function-Preserving Surgery in Gastric Cancer

• Bueno JA
• Park YS
• Ahn SH
• Park DJ
• Kim HH

• KMID: 2429386
• DOI: http://doi.org/10.7602/jmis.2018.21.4.141

Abstract

The rising incidence of early gastric cancer has enabled the development of function-preserving gastrectomy with the focus on post gastrectomy quality of life and adherence to sound oncologic principles. It is concurrent with the growing popularity of minimally invasive surgery; and both are commonly used together. The different kinds of function-preserving gastrectomy included in this review are: pylorus-preserving and proximal gastrectomy, vagus nerve preservation, sentinel node navigation, and various endoscopic & minimally-invasive techniques. In this article the indications, techniques, oncologic safety, functional benefit, and outcomes of each kind of function-preserving gastrectomy are discussed.

Keyword

Function-preserving gastrectomy (FPG); Early gastric cancer (EGC); Pylorus-preserving gastrectomy (PPG); Proximal gastrectomy (PG); Laparoscopic gastrectomy

MeSH Terms

Gastrectomy
Incidence
Minimally Invasive Surgical Procedures
Quality of Life
Stomach Neoplasms*
Vagus Nerve