Department of Surgery, University Hospital of Ioannina and University of Ioannina, Ioannina, 45110, Greece; Department of Surgery, General Hospital of Preveza, Preveza, Greece.
Department of Surgery, General Hospital of Preveza, Preveza, Greece.
Int J Surg. 2018 May;53:275-278. doi: 10.1016/j.ijsu.2018.03.048. Epub 2018 Mar 27.
Gastric cancer is reported to be the fourth most common cancer and the second leading cause of cancer-related death worldwide. Minimally invasive surgical treatment for gastric cancer is a very challenging approach which offers undoubtedly important advantages.
There is intense debate concerning the minimally invasive surgical approach for advanced gastric cancer especially in the Western population. A careful literature search was conducted in order to clarify the feasibility and safety of pure laparoscopic total gastrectomy in the West.
Herewith we aim to summarize the current scientific evidence assessing the feasibility and short-term outcomes of laparoscopic gastrectomy for advanced gastric cancer in the West. A lack of data from Western institutions regarding minimally invasive surgical approach for gastric cancer is yet a reality. Nevertheless, the laparoscopic procedure appears to provide satisfactory short-term oncologic outcomes and improved postoperative outcomes.
It is obvious that future well-conducted trials on long-term results are necessary for Western patients in order safe conclusions to be reached regarding a potential definitive 'place' for laparoscopy in the curative gastric cancer treatment.
胃癌是全球第四大常见癌症，也是癌症相关死亡的第二大主要原因。胃癌的微创外科治疗是一种极具挑战性的方法，无疑具有重要优势。
对于进展期胃癌的微创外科治疗，特别是在西方人群中，存在着激烈的争论。为了阐明在西方实施纯腹腔镜全胃切除术的可行性和安全性，我们进行了仔细的文献检索。
在此，我们旨在总结目前评估西方进展期胃癌腹腔镜胃切除术可行性和短期结果的科学证据。西方机构在胃癌微创外科治疗方面缺乏数据仍然是一个现实。然而，腹腔镜手术似乎提供了令人满意的短期肿瘤学结果和改善的术后结果。
显然，为了对腹腔镜在胃癌治疗中的潜在“地位”得出安全的结论，需要对西方患者进行长期结果的良好设计试验。
