, Volume 23, Issue 5, pp 1161-1163
Date: 19 Mar 2009

Advanced gastric cancer: is laparoscopic gastrectomy safe?

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As experience with laparoscopically assisted distal gastrectomy (LADG) for early gastric cancer substantially increased, particularly in Korea and Japan [1], it was expected that the next step would be laparoscopic treatment of advanced gastric cancer. Indeed, unsurprisingly, Hwang et al. [2] reported on LADG for advanced gastric cancer in a recent issue of Surgical Endoscopy.

However, evidence of laparoscopic surgery’s safety for early gastric cancer in terms of oncologic outcomes still is lacking. Nevertheless, several large randomized controlled trials and metaanalyses have demonstrated that laparoscopic surgery is a more patient-friendly procedure than open colectomy, offering better early postoperative quality of life and having no negative effect on recurrence or the survival of patients with advanced stages of colon cancer [3]. These findings and the positive results of retrospective studies investigating LADG for early gastric cancer justify the current study’s evaluation of LAD ...