Department of Surgery, Ajou University School of Medicine, Suwon, Korea.
Am J Surg. 2013 Jan;205(1):45-51. doi: 10.1016/j.amjsurg.2012.03.010. Epub 2012 Aug 17.
The aims of this study were to investigate trends in minimally invasive surgery (MIS) for gastric cancer through the experience of a single center and to predict the direction of the development of MIS.
During a 7-year period, 2,160 patients underwent curative gastric cancer surgery. Changes in the proportion and pathologic features of a total of 750 cases that involved MIS, as well as the surgical methods and outcomes of MIS, were analyzed.
An analysis of the patient population treated by MIS revealed that the proportion of patients with T2 or greater tumors on the basis of pathologic findings was initially <5.0% but had recently increased to 24.3%. Although the proportions of intracorporeal anastomosis and robotic surgery had recently increased, the complication rate and operative time had stabilized 2 years after the 1st MIS.
Given these results, the application of MIS for gastric cancer is expected to become more frequent. In addition, new modalities will be preferred by both surgeons and patients to reduce the invasiveness of gastric cancer surgery.
本研究旨在通过单中心经验探讨胃癌微创手术（MIS）的趋势，并预测 MIS 的发展方向。
在 7 年期间，2160 名患者接受了根治性胃癌手术。分析了总共 750 例涉及 MIS 的病例的比例和病理特征变化，以及 MIS 的手术方法和结果。
对接受 MIS 治疗的患者人群进行分析发现，基于病理发现，T2 或更大肿瘤的患者比例最初<5.0%，但最近已增加至 24.3%。尽管腔内吻合和机器人手术的比例最近有所增加，但第 1 次 MIS 后 2 年内，并发症发生率和手术时间已稳定。
鉴于这些结果，预计胃癌的 MIS 应用将更加频繁。此外，外科医生和患者都将更喜欢新的方式，以减少胃癌手术的侵袭性。
