Erschienen in:
01.12.2009 | Letter
Preventing and managing complications of laparoscopic gastrectomy
verfasst von:
E. Hanisch
Erschienen in:
Surgical Endoscopy
|
Ausgabe 12/2009
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Excerpt
Laparoscopic surgery for treatment of solid cancers has become popular over the last decade. Although this minimally invasive technique does not improve disease-free and overall survival, it provides substantially better quality of life (QOL), particularly in the early postoperative period. Over the last few years several reports from East Asian with a relatively large number of patients with gastric cancer treated by laparoscopic gastrectomy have been published [
1]. Given the increasing popularity of this technique and most patients’ desire for a patient-friendly approach, what are the preconditions and the potential complications of laparoscopic resection? In “classic” open surgery, gastrectomy with extended D2 lymphadenectomy has become a de facto method in East Asian countries and specialized institutions in the West, but in the era of evidence-based medicine there is still a debate on the optimal extent of lymph node dissection [
2‐
8]. …