, Volume 15, Issue 9, pp 2624-2625
Date: 07 May 2008

Lessons from Laparoscopic Gastrectomy: Preventing Surgical Complications

Rent the article at a discount

Rent now

* Final gross prices may vary according to local VAT.

Get Access
This is an excerpt from the content

With a rapidly growing clinical use of laparoscopic gastrectomy worldwide, there is major interest in the report by Ryu and colleagues1 in a recent issue of this journal in how to prevent surgical complications. In this largest series of laparoscopy-assisted distal gastrectomy (LADG), risk factors increasing surgical morbidity have been identified and ways to reduce it are provided.

Undoubtedly, laparoscopic gastrectomy is superior to open gastrectomy with respect to quality of life (QOL) in early postoperative period. Although no survival benefit is expected, there are several reasons to predict wider clinical use in the years to come: better QOL, strong patient's preference, who will seek specialized clinics for undergoing this patient-friendly procedure, and wider indications of laparoscopic gastrectomy including beyond early stage, also localized advanced carcinoma,2 and carriers of CDH1 mutations to prevent hereditary diffuse gastric cancer (HDGC) syndrome.3 As laparoscopic gastrec