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World Journal of Surgery
Erschienen in: World Journal of Surgery 7/2011

01.07.2011

Minimally Invasive Surgery for Gastric Cancer: The Future Standard of Care

verfasst von: Keisuke Koeda, Satoshi Nishizuka, Go Wakabayashi

Erschienen in: World Journal of Surgery | Ausgabe 7/2011

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Abstract

Laparoscopy-assisted distal gastrectomy for gastric cancer was first reported by Kitano et al. in 1991. Laparoscopic wedge resection (LWR) and intragastric mucosal resection (IGMR) were quickly adapted for gastric cancer limited to the mucosal layer and having no risk of lymph node metastasis. Following improvements in endoscopic mucosal resection (EMR) and endoscopic submucosal dissection (ESD), the use of LWR and IGMR for these indications decreased, and patients with gastric cancer, including those with a risk of lymph node metastases, were more likely to be managed with laparoscopic gastrectomy (LG) with lymph node dissection. Many retrospective comparative trials and randomized-controlled trials (RCT) have confirmed that LG is safe and feasible, and that short-term outcomes are better than those of open gastrectomy (OG) in patients with early gastric cancer (EGC). However, these trials did not include a satisfactory number of patients to establish clinical evidence. Thus, additional multicenter randomized-controlled trials are needed to delineate significantly quantifiable differences between LG and OG. As laparoscopic experience has accumulated, the indications for LG have been broadened to include older and overweight patients and those with advanced gastric cancer. Moreover, advanced techniques, such as laparoscopy-assisted total gastrectomy, laparoscopy-assisted proximal gastrectomy, laparoscopy-assisted pylorus-preserving gastrectomy (PPG), and extended lymph node dissection (D2) have been widely performed.
In the near future, sentinel node navigation and robotic surgery will become additional options in minimally invasive surgery (MIS) involving LG. Such developments will improve the quality of life of patients following gastric cancer surgery.
Literatur
1.
Dubois F, Berthelot G, Levard H (1989) Cholecystectomy by coelioscopy. Presse Med 18:980–982PubMed
2.
Weeks JC, Nelson H, Gelber S et al (2002) Short-term quality-of-life outcomes following laparoscopic-assisted colectomy vs open colectomy for colon cancer: a randomized trial. JAMA 287:321–328PubMedCrossRef
3.
Kitano S, Iso Y, Moriyama M et al (1994) Laparoscopy-assisted Billroth I gastrectomy. Surg Laparosc Endosc 4:146–148PubMed
4.
Ohgami M, Kumai K, Otani Y et al (1994) Laparoscopic wedge resection of the stomach for early gastric cancer using a lesion-lifting method. Dig Surg 11:64–67CrossRef
5.
Ohashi S (1995) Laparoscopic intraluminal (intragastric) surgery for early gastric cancer. Surg Endosc 9:169–171PubMedCrossRef
6.
Japan Society for Endoscopic Surgery (2008) Nationwide survey on endoscopic surgery in Japan. J Jpn Soc Endosc Surg 13:499–611 (in Japanese)
7.
Kawamura H, Hommma S, Yokota R et al (2008) Inspection of safety and accuracy of D2 lymph node dissection in laparoscopy-assisted distal gastrectomy. World J Surg 32:2366–2370PubMedCrossRef
8.
Shinohara T, Kanaya S, Taniguchi K et al (2009) Laparoscopic total gastrectomy with D2 lymph node dissection for gastric cancer. Arch Surg 144:1138–1142PubMedCrossRef
9.
Sakuramoto S, Kikuchi S, Futawatari N et al (2009) Laparoscopy-assisted pancreas- and spleen-preserving total gastrectomy for gastric cancer as compared with open total gastrectomy. Surg Endosc 23:2416–2423PubMedCrossRef
10.
Kim HH, Hyung WJ, Cho GS et al (2010) Morbidity and mortality of laparoscopic gastrectomy versus open gastrectomy for gastric cancer. An interim report—a phase III multicenter, prospective, randomized trial (KLASS Trial). Ann Surg 251:417–420PubMedCrossRef
11.
The Japanese Gastric Cancer Association (2001) Guidelines for the treatment of gastric cancer. Kanehara, Tokyo
12.
The Japanese Gastric Cancer Association (2004) Guidelines for the treatment of gastric cancer. Kanehara, Tokyo
13.
Hartgrink HH, van de Velde CJ, Putter H et al (2004) Extended lymph node dissection for gastric cancer: who may benefit? Final results of the randomized Dutch Gastric Cancer Group trial. J Clin Oncol 22:2069–2077PubMedCrossRef
14.
Tokunaga M, Hiki N, Fukunaga T et al (2009) Laparoscopy-assisted distal gastrectomy with D2 lymph node dissection following standardization—a preliminary study. J Gastrointest Surg 13:1058–1063PubMedCrossRef
15.
Guzman EA, Pigazzi A, Lee B et al (2009) Totally laparoscopic gastric resection with extended lymphadenectomy for gastric adenocarcinoma. Ann Surg Oncol 16:2218–2223PubMedCrossRef
16.
Pugliese R, Maggioni D, Sansonna F et al (2010) Subtotal gastrectomy with D2 dissection by minimally invasive surgery for distal adenocarcinoma of the stomach: results and 5-year survival. Surg Endosc 24:2594–2602PubMedCrossRef
17.
Lee SW, Nomura E, Bouras G et al (2010) Long-term oncologic outcomes from laparoscopic gastrectomy for gastric cancer: a single-center experience of 601 consecutive resections. J Am Coll Surg 211:33–40PubMedCrossRef
18.
Hyang JL, Wei HB, Zheng ZH et al (2010) Laparoscopy-assisted D2 radical distal gastrectomy for advanced gastric cancer. Dig Surg 27:291–296CrossRef
19.
Ojima T, Iwahashi M, Nakamori M et al (2009) Influence of overweight on patients with gastric cancer after undergoing curative gastrectomy. Arch Surg 144:351–358PubMedCrossRef
20.
Noshiro H, Shimizu S, Nagai E et al (2003) Laparoscopy-assisted distal gastrectomy for early gastric cancer. Is it beneficial for patient of heavier weight? Ann Surg 238:680–685PubMedCrossRef
21.
Kim KH, Kim MC, Jung GJ et al (2006) The impact of obesity on LADG for early gastric cancer. Gastric Cancer 9:303–307PubMedCrossRef
22.
Shim JH, Song KY, Kim SN et al (2009) Laparoscopy-assisted distal gastrectomy for overweight patients in the Asian population. Surg Today 39:481–486PubMedCrossRef
23.
Makino H, Kunisaki C, Izumisawa Y et al (2010) Effect of obesity on laparoscopy-assisted distal gastrectomy compared with open distal gastrectomy for gastric cancer. J Surg Oncol 102:141–147PubMedCrossRef
24.
Ohno T, Mochiki E, Ando H et al (2010) The benefits of laparoscopically assisted distal gastrectomy for obese patients. Surg Endosc 24:2770–2775PubMedCrossRef
25.
Hiki N, Fukunaga T, Yamaguchi T et al (2009) Increased fat content and body shape have little effect on the accuracy of lymph node retrieval and blood loss in laparoscopic distal gastrectomy for gastric cancer. J Gastrointest Surg 13:626–633PubMedCrossRef
26.
Lee HJ, Kim HH, Kim MC et al (2009) The impact of a high body mass index on laparoscopy assisted gastrectomy for gastric cancer. Surg Endosc 23:2473–2479PubMedCrossRef
27.
Kitamura K, Yamaguchi T, Taniguchi H et al (1996) Clinicopathological characteristics of gastric cancer in the elderly. Br J Cancer 73:798–802PubMedCrossRef
28.
Wu CW, Hsieh MC, Lo SS et al (1995) Morbidity and mortality after radical gastrectomy for patients with carcinoma of the stomach. J Am Coll Surg 181:26–32PubMed
29.
Eguchi T, Fujii M, Takayama T et al (2003) Mortality for gastric cancer in elderly patients. J Surg Oncol 84:132–136PubMedCrossRef
30.
Bittner R, Butters M, Ulrich M et al (1996) Total gastrectomy. Updated operative mortality and long-term survival with particular reference to patients older than 70 years of age. Ann Surg 224:37–42PubMedCrossRef
31.
Yasuda K, Sonoda K, Shiroshita H et al (2004) Laparoscopically assisted distal gastrectomy for early gastric cancer in the elderly. Br J Surg 91:1061–1065PubMedCrossRef
32.
Mochiki E, Ohno T, Kamiyama Y et al (2005) Laparoscopy-assisted gastrectomy for early gastric cancer in young and elderly patients. World J Surg 29:1585–1591PubMedCrossRef
33.
Tokunaga M, Hiki N, Fukunaga T et al (2008) Does age matter in the indication for laparoscopy-assisted gastrectomy? J Gastrointest Surg 12:1502–1507PubMedCrossRef
34.
Kunisaki C, Makino H, Takagawa R et al (2009) Efficacy of laparoscopy-assisted distal gastrectomy for gastric cancer in the elderly. Surg Endosc 23:377–383PubMedCrossRef
35.
Hwang SH, Park DJ, Jee YS et al (2009) Risk factors for operative complications in elderly patients during laparoscopy-assisted gastrectomy. J Am Coll Surg 208:186–192PubMedCrossRef
36.
Cho GS, Kim W, Kim HH et al (2009) Multicentre study of the safety of laparoscopic subtotal gastrectomy for gastric cancer in the elderly. Br J Surg 96:1437–1442PubMedCrossRef
37.
Tanimura S, Higashino M, Fukunaga Y et al (2006) Laparoscopic gastrectomy with regional lymph node dissection for upper gastric cancer. Br J Surg 94:204–207CrossRef
38.
Matsui H, Okamoto Y, Nabeshima K et al (2009) Endoscopy-assisted gastric resection: a safe and reliable procedure for tumor clearance during laparoscopic high distal or proximal gastrectomy. Surg Endosc 23:1146–1149PubMedCrossRef
39.
Ogoshi K, Okamoto Y, Nabeshima K et al (2005) Focus on the conditions of resection and reconstruction in gastric cancer. What extent of resection and what kind of reconstruction provide the best outcomes for gastric cancer patients? Digestion 71:213–224PubMedCrossRef
40.
Maki T, Shiratori T, Hatafuku T et al (1967) Pylorus-preserving gastrectomy as an improved operation for gastric ulcer. Surgery 61:838–845PubMed
41.
Park DJ, Lee HJ, Jung HC et al (2008) Clinical outcome of pylorus-preserving gastrectomy in gastric cancer in comparison with conventional distal gastrectomy with Billroth I anastomosis. World J Surg 32:1029–1036CrossRef
42.
Shinohara H, Sonoda T, Niki M et al (2002) Laparoscopically-assisted pylorus-preserving gastrectomy with preservation of the vagus nerve. Eur J Surg 168:55–58PubMedCrossRef
43.
Hiki N, Kaminishi M (2005) Pylorus-preserving gastrectomy in gastric cancer surgery—open and laparoscopic approaches. Langenbecks Arch Surg 390:442–447PubMedCrossRef
44.
Nunobe S, Hiki N, Fukunaga T et al (2007) Laparoscopy-assisted pylorus-preserving gastrectomy: preservation of vagus nerve and infrapyloric blood flow induces less stasis. World J Surg 31:2335–2340PubMedCrossRef
45.
Adachi Y, Shiraishi N, Shiromizu A et al (2000) Laparoscopy-assisted Billroth I gastrectomy compared with conventional open gastrectomy. Arch Surg 135:806–809PubMedCrossRef
46.
Shimizu S, Uchiyama A, Mizumoto K et al (2000) Laparoscopically assisted distal gastrectomy for early gastric cancer. Is it superior to open surgery? Surg Endosc 14:27–31PubMedCrossRef
47.
Reyes CD, Weber KJ, Gagner M et al (2001) Laparoscopic vs. open gastrectomy. Surg Endosc 15:928–931PubMedCrossRef
48.
Yano H, Monden T, Kinuta M et al (2001) The usefulness of laparoscopy-assisted distal gastrectomy in comparison with that of open distal gastrectomy for early gastric cancer. Gastric Cancer 4:93–97PubMedCrossRef
49.
Migoh S, Hasuda K, Nakashima K et al (2003) The benefit of laparoscopy-assisted distal gastrectomy compared with conventional open distal gastrectomy: a case-matched control study. Hepatogastroenterology 50:2251–2254PubMed
50.
Weber KJ, Reyes CD, Gagner M et al (2003) Comparison of laparoscopic and open gastrectomy for malignant disease. Surg Endosc 17:968–971PubMedCrossRef
51.
Tanimura S, Higashino M, Fukunaga Y et al (2003) Laparoscopic distal gastrectomy with regional lymph node dissection for gastric cancer. Surg Endosc 17:758–762PubMedCrossRef
52.
Naka T, Ishikura T, Shibata S et al (2005) Laparoscopy-assisted and open distal gastrectomies for early gastric banker at a general hospital in Japan. Hepatogastroenterology 52:293–297PubMed
53.
Noshiro H, Nagai E, Shimizu S et al (2005) Laparoscopically assisted distal gastrectomy with standard radical lymph node dissection for gastric cancer. Surg Endosc 19:1592–1596PubMedCrossRef
54.
Kim MC, Kim KH, Kim HH et al (2005) Comparison of laparoscopy-assisted by conventional open distal gastrectomy and extra-perigastric lymph node dissection in early gastric cancer. J Surg Oncol 91:90–94PubMedCrossRef
55.
Usui S, Yoshida T, Ito K et al (2005) Laparoscopy-assisted total gastrectomy for early gastric cancer: comparison with conventional open total gastrectomy. Laparosc Endosc Percutan Tech 15:309–314CrossRef
56.
Hiki N, Shimoyama S, Yamaguchi H et al (2006) Laparoscopy-assisted pylorus-preserving gastrectomy with quality controlled lymph node dissection in gastric cancer operation. J Am Coll Surg 203:162–169PubMedCrossRef
57.
Verela JE, Hiyashi M, Nguyen T et al (2006) Comparison of laparoscopic and open gastrectomy for gastric cancer. Am J Surg 192:837–842CrossRef
58.
Lee SI, Choi YS, Park DJ et al (2006) Comparative study of laparoscopy-assisted distal gastrectomy and open distal gastrectomy. J Am Coll Surg 202:874–880PubMedCrossRef
59.
Ikenaga N, Nishihara K, Iwashita T et al (2006) Long-term quality of life after laparoscopically assisted distal gastrectomy for gastric cancer. J Laparoendosc Adv Surg Tech A 16:119–123PubMedCrossRef
60.
Strong VE, Devaud N, Allen PJ et al (2009) Laparoscopic versus open subtotal gastrectomy for adenocarcinoma: a case-control study. Ann Surg Oncol 16:1507–1513PubMedCrossRef
61.
Orsenigo E, Palo SD, Tamburini A et al (2010) Laparoscopy-assisted gastrectomy versus open gastrectomy for gastric cancer: a mono institutional Western center experience. Surg Endosc 25:140–145PubMedCrossRef
62.
Park JM, Jin SH, Lee SR et al (2008) Complications with laparoscopically assisted gastrectomy: multivariate analysis of 300 consecutive cases. Surg Endosc 22:2133–2139PubMedCrossRef
63.
Kunisaki C, Makino H, Takagawa R et al (2009) Predictive factors for surgical complications of laparoscopy-assisted distal gastrectomy for gastric cancer. Surg Endosc 23:2085–2093PubMedCrossRef
64.
Obama K, Okabe H, Hosogi H et al (2010) Feasibility of laparoscopic gastrectomy with radical lymph node dissection for gastric cancer: from a viewpoint of pancreas-related complications. Surgery 149:14–21
65.
Kitano S, Shiraishi N, Uyama I et al (2007) A multicenter study on oncologic outcome of laparoscopic gastrectomy for early cancer in Japan. Ann Surg 245:68–72PubMedCrossRef
66.
Hwang SH, Park DJ, Jee YS et al (2009) Actual 3-year survival after laparoscopy-assisted gastrectomy for gastric cancer. Arch Surg 144:559–564PubMedCrossRef
67.
Lee J, Kim W (2009) Long-term outcomes after laparoscopy-assisted gastrectomy for advanced gastric cancer: analysis of consecutive 106 experiences. J Surg Oncol 100:693–698PubMedCrossRef
68.
Song J, Lee HJ, Cho GS et al (2010) Recurrence following laparoscopy-assisted gastrectomy for gastric cancer: a multicenter retrospective analysis of 1, 417 patients. Ann Surg Oncol 17:1777–1786PubMedCrossRef
69.
Lee SW, Nomura E, Bouras G et al (2010) Long-term oncologic outcomes from laparoscopic gastrectomy for gastric cancer: a single-center experience of 601 consecutive resections. J Am Coll Surg 211:33–40PubMedCrossRef
70.
Huscher CG, Mingoli A, Sgarzini G et al (2005) Laparoscopic versus open subtotal gastrectomy for distal gastric cancer. Five-year results of a randomized prospective trial. Ann Surg 241:232–237PubMedCrossRef
71.
Kitano S, Shiraishi N, Fujii K et al (2002) A randomized controlled trial comparing open vs laparoscopy-assisted distal gastrectomy for the treatment of early gastric cancer: an interim report. Surgery 131:s306–s311PubMedCrossRef
72.
Fujii K, Sonoda K, Izumi K et al (2003) T lymphocyte subsets and Th1/Th2 balance after laparoscopy-assisted distal gastrectomy. Surg Endosc 17:1440–1444PubMedCrossRef
73.
Hayashi H, Ochiai T, Shimada H et al (2005) Prospective randomized study of open vs laparoscopy-assisted distal gastrectomy with extraperigastric lymph node dissection for early gastric cancer. Surg Endosc 19:1172–1176PubMedCrossRef
74.
Lee JH, Han HS, Lee JH (2005) A prospective randomized study comparing open vs laparoscopy-assisted distal gastrectomy in early gastric cancer. Surg Endosc 19:168–173PubMedCrossRef
75.
Kim YW, Baik YH, Yun YH et al (2008) Improved quality of life outcomes after laparoscopy-assisted distal gastrectomy for early gastric cancer: results of a prospective randomized clinical trial. Ann Surg 248:721–727PubMedCrossRef
76.
Chen XZ, Hu JK, Yang K et al (2009) Short-term evaluation of laparoscopy-assisted distal gastrectomy for predictive early gastric cancer: a meta-analysis of randomized controlled trials. Surg Laparosc Endosc Percutan Tech 19:277–284PubMedCrossRef
77.
Yamada H, Kojima K, Inokuchi M et al (2010) Efficacy of celiac branch preservation in Roux-en-Y reconstruction after laparoscopy-assisted distal gastrectomy. Surgery 149:22–28PubMedCrossRef
78.
Katsios CG, Baltogiannis G, Roukos DH (2010) Laparoscopic surgery for gastric cancer: comparative-effectiveness research and future trends. Expert Rev Anticancer Ther 10:473–476PubMedCrossRef
79.
Kanaya S, Gomi T, Momoi H et al (2002) Delta-shaped anastomosis in totally laparoscopic Billroth-I gastrectomy: new technique of intra-abdominal gastroduodenostomy. J Am Coll Surg 195:284–287PubMedCrossRef
80.
Takaori K, Nomura E, Mabuchi H et al (2005) A secure technique of intra-corporeal Roux-Y reconstruction after laparoscopic distal gastrectomy. Am J Surg 189:178–183PubMedCrossRef
81.
Ikeda O, Sakaguchi Y, Aoki Y et al (2009) Advantages of totally laparoscopic distal gastrectomy over laparoscopically assisted distal gastrectomy for gastric cancer. Surg Endosc 23:2374–2379PubMedCrossRef
82.
Kitagawa Y, Ohgami M, Fujii H et al (2001) Laparoscopic detection of sentinel lymph nodes in gastrointestinal cancer: a novel and minimally invasive approach. Ann Surg Oncol 8:86–89
83.
Kitagawa Y, Kitano S, Kubota T et al (2005) Minimally invasive surgery for gastric cancer—toward a confluence of two major streams: a review. Gastric Cancer 8:103–110PubMedCrossRef
84.
Abe N, Mori T, Takeuchi H et al (2005) Laparoscopic lymph node dissection after endoscopic submucosal dissection: a novel and minimally invasive approach to treating early-stage gastric cancer. Am J Surg 19:496–503CrossRef
85.
Patriti A, Ceccarelli G, Bellochi R et al (2008) Robot-assisted laparoscopic total and partial gastric resection with D2 lymph node dissection for adenocarcinoma. Surg Endosc 22:2753–2760PubMedCrossRef
86.
Song J, Oh SJ, Kang WH et al (2009) Robot-assisted gastrectomy with lymph node dissection for gastric cancer: lessons learned from an initial 100 consecutive procedures. Ann Surg 249:927–932PubMedCrossRef
Metadaten
Titel
Minimally Invasive Surgery for Gastric Cancer: The Future Standard of Care
verfasst von
Keisuke Koeda
Satoshi Nishizuka
Go Wakabayashi
Publikationsdatum
01.07.2011
Verlag
Springer-Verlag
Erschienen in
World Journal of Surgery / Ausgabe 7/2011
Print ISSN: 0364-2313
Elektronische ISSN: 1432-2323
DOI
https://doi.org/10.1007/s00268-011-1051-5

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