Department of Surgery I, Oita University, Oita, Japan.
J Surg Oncol. 2013 Mar;107(3):282-8. doi: 10.1002/jso.23128. Epub 2012 Apr 13.
Since development of laparoscopy-assisted distal gastrectomy with lymph node dissection in 1991 in Japan, laparoscopic gastrectomy (LAG) is improving and evolving. Recently, advanced LAG techniques including D2 lymph node dissection or anastomosis after total gastrectomy have been developed. Retrospective and prospective multicenter studies have been conducted for early and non-early gastric cancers to establish high-quality evidence. This review summarizes the current trends of minimally invasive approaches for gastric cancer based on current Japanese experiences.
自 1991 年日本开展腹腔镜辅助远端胃切除术和淋巴结清扫术以来，腹腔镜胃切除术（LAG）不断改进和发展。最近，已经开发了包括全胃切除术后 D2 淋巴结清扫或吻合的先进 LAG 技术。为了建立高质量的证据，已经对早期和非早期胃癌进行了回顾性和前瞻性多中心研究。本文综述了基于日本现有经验的胃癌微创治疗的当前趋势。
