, Volume 24, Issue 4, pp 961-963
Date: 16 Sep 2009

Totally laparoscopic vs. laparoscopically assisted distal gastrectomy for gastric cancer

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Although no survival benefit can be expected, laparoscopic gastrectomy for patients with early gastric cancer has become popular during the last decade. Laparoscopic gastrectomy, compared with open gastrectomy, provides a series of strengths during the early postoperative period summarized by the term, quality of life (QOL).

Laparoscopic gastrectomy has rapidly evolved in east Asian countries, particularly in Japan and Korea where there is a high incidence of gastric cancer. Approximately 50% of patients are diagnosed at an early stage (T1NxM0) through screening programs, and endoscopic mucosal resection or laparoscopic gastrectomy are widely used.

Until recently, laparoscopically assisted distal gastrectomy (LADG) was the most commonly performed procedure. With LADG, lymph node dissection is performed laparoscopically. However, resection of the stomach and anastomosis is performed with a direct view through a minilaparotomy made on the epigastrium. There are some technical difficulties ...