, Volume 15, Issue 4, pp 1249-1250
Date: 20 Nov 2007

Laparoscopic Gastrectomy: Feasibility, Safety and Efficacy

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Screening programs, including access to endoscopy for the population in Japan and Korea, have substantially increased the rate of early-stage gastric cancer.1 Detecting gastric cancer and lymphoma at early stages (I and II) is the most powerful way to increase cure rates.2,3 With such an early diagnosis, most patients have a localized disease without micrometastases and can be cured with standardized, appropriate D2 surgery.1,46 Efforts to improve the quality of life of these patients with expected long-term survival have resulted in the development of laparoscopic-assisted gastrectomy (LAG). This patient-friendly technique now attracts great attention and interest in the treatment of patients with gastric cancer as it can be associated with quicker return of gastrointestinal function, faster ambulation, and earlier discharge from hospital than open gastrectomy. However, there are several open questions regarding surgeon’s experience, operating time, morbidity, mortality, and recurren ...