Laparoscopic Approaches to Gastric Cancer

  • Steven M. Yood
  • Demetrius E. M. Litwin


Professor Christian Albert Theodor Billrothl performed the first successful gastric resection for malignancy in 1881. In this operation, the stomach was anastomosed directly to the duodenum in an operation that became known as the Billroth I gastrectomy. In 1885, Billroth removed the distal stomach and performed an anterior gastrojejunostomy in an operation that has since been named the Billroth II gastrectomy.2 Since that time, the operation has undergone many modifications, including the introduction of the use of staplers to make the operations quicker.3 Despite these advances, gastrectomy remains a major abdominal operation, with a prolonged hospitalization and recovery time, and the potential for major morbidity and mortality.


Gastric Cancer Laparoscopic Approach Total Gastrectomy Linear Stapler Compute Tomog 
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  1. 1.
    Billroth T. Uber einen nuen Fall von gelungener Resecktion des Carcinomatosen Pylorus. Wein Med Wochenschr 1881; 31: 1427.Google Scholar
  2. 2.
    Ellis H. Billroth and the first successful gastrectomy. Contemp Surg 1979; 15: 63.Google Scholar
  3. 3.
    Ravitch MM, Steichen FM. Technics of staple suturing in the gastrointestinal tract. Ann Surg 1972; 175: 815–837.PubMedCrossRefGoogle Scholar
  4. 4.
    Goh P, Tekant Y, Kum CK, Isaac J, Shang NS. Totally intra-abdominal laparoscopic Billroth II gastrectomy [letter]. Surg Endosc 1992; 6: 19. 160.PubMedCrossRefGoogle Scholar
  5. 5.
    Litwin D, Rossi L. Laparoscopic gastrectomy and reconstruction. In: Toouli JGD, Hunter J, eds. Endosurgery. New York: Churchill Livingstone, 1996: 381–390. 20.Google Scholar
  6. 6.
    Azagra JSGM. Laparoscopic total gastrectomy. In: Meinero MMG, Mouret P, eds. Laparoscopic Surgery: the Nineties. Milan: Masson, 1995:289296.Google Scholar
  7. 7.
    Goh PM, Alponat A, Mak K, Kum CK. Early in- 21. ternational results of laparoscopic gastrectomies. Surg Endosc 1997; 11: 650–652.PubMedCrossRefGoogle Scholar
  8. 8.
    Robertson CS, Chung SC, Woods SD, et al. A pro- 22. spective randomized trial comparing R1 subtotal gastrectomy with R3 total gastrectomy for antral cancer [see comments]. Ann Surg 1994; 220: 176–182. 23.Google Scholar
  9. 9.
    Bonenkamp JJ, van de Velde CJ, Sasako M, Her-mans J. R2 compared with R1 resection for gastric cancer: morbidity and mortality in a pro- 24. spective, randomised trial. Eur J Surg 1992; 158: 413–418.PubMedGoogle Scholar
  10. 10.
    Dent DM, Madden MV, Price SK. Randomized comparison of R1 and R2 gastrectomy for gastric carcinoma. Br J Surg 1988; 75: 110–112. 25.Google Scholar
  11. 11.
    Gouzi JL, Huguier M, Fagniez PL, et al. Total versus subtotal gastrectomy for adenocarcinoma of the gastric antrum. A French prospective controlled study. Ann Surg 1989; 209: 162–166. 26.Google Scholar
  12. 12.
    Mishima Y, Hirayama R. The role of lymph node surgery in gastric cancer. World J Surg 1987; 11: 406–411.PubMedCrossRefGoogle Scholar
  13. 13.
    Craven J. Laparoscopic Billroth II gastrectomy 27. for early gastric cancer. Br J Surg 1995; 82: 1697.CrossRefGoogle Scholar
  14. 14.
    Decanini C, Milsom JW, Bohm B, Fazio VW. Lap- 28. aroscopic oncologic abdominoperineal resection. Dis Colon Rectum 1994; 37: 552–558.PubMedCrossRefGoogle Scholar
  15. 15.
    Milsom JW, Bohm B, Decanini C, Fazio VW. Lap- 29. aroscopic oncologic proctosigmoidectomy with low colorectal anastomosis in a cadaver model. Surg Endosc 1994; 8: 1117–1123.PubMedCrossRefGoogle Scholar
  16. 16.
    Kmiot WA, Wexner SD. Laparoscopy in colorectal surgery: a call for careful appraisal. Br J Surg 30. 1995; 82: 25–26.Google Scholar
  17. 17.
    Hughes ES, McDermott FT, Polglase AL, Johnson WR. Tumor recurrence in the abdominal wall scar tissue after large-bowel cancer surgery. 31. Dis Colon Rectum 1983; 26: 571–572.PubMedCrossRefGoogle Scholar
  18. 18.
    Joris JL, Noirot DP, Legrand MJ, Jacquet NJ, Lamy ML. Hemodynamic changes during laparoscopic cholecystectomy. Anesth Analg 1993; 76: 1067–1071.PubMedCrossRefGoogle Scholar
  19. 19.
    Wittgen CM, Andrus CH, Fitzgerald SD, Baudendistel LJ, Dahms TE, Kaminski DL. Analysis of the hemodynamic and ventilatory effects of laparoscopic cholecystectomy. Arch Surg 1991;126:997–1000; discussion 1000–1001.Google Scholar
  20. 20.
    Southern Surgeons’ Club Study Group. Handoscopic surgery: a prospective multicenter trial of a minimally invasive technique for complex abdominal surgery. [In Process Citation]. Arch Surg 1999;134:477–485; discussion 485–486.Google Scholar
  21. 21.
    O’Reilly MJ, Saye WB, Mullins SG, Pinto SE, Falkner PT. Technique of hand-assisted laparoscopic surgery. J Laparoendosc Surg 1996; 6: 239–244.PubMedCrossRefGoogle Scholar
  22. 22.
    Bemelman WA, Ringers J, Meijer DW, de Wit CW, Bannenberg j j. Laparoscopic-assisted colectomy with the dexterity pneumo sleeve. Dis Colon Rectum 1996; 39: 559–61.CrossRefGoogle Scholar
  23. 23.
    Naitoh T, Gagner M. Laparoscopically assisted gastric surgery using Dexterity Pneumo Sleeve. Surg Endosc 1997; 11: 830–833.PubMedCrossRefGoogle Scholar
  24. 24.
    Naitoh T, Gagner M, Garcia-Ruiz A, Heniford BT, Ise H, Matsuno S. Hand-assisted laparoscopic digestive surgery provides safety and tactile sensation for malignancy or obesity. Surg Endosc 1999; 13: 157–160.PubMedCrossRefGoogle Scholar
  25. 25.
    Kelly JJ, Meyers WC, Sandor A, Litwin DE. Laparoscopie gastrectomy in the porcine model: our initial experience with a new hand-assist device. Surg Laparosc Endosc 1999; 9: 49–52.PubMedCrossRefGoogle Scholar
  26. 26.
    Yood S, Sandor A, Kelly JJ, Litwin DEM. Hand-assisted laparoscopic parital gastrectomy (video). SAGES Annual Meeting, San Antonio, Texas, 1999.Google Scholar
  27. 27.
    Burke EC, Karpeh MS, Conlon KC, Brennan ME. Laparoscopy in the management of gastric adenocarcinoma. Ann Surg 1997; 225: 262–267.PubMedCrossRefGoogle Scholar
  28. 28.
    Lowy AM, Mansfield PF, Leach SD, Ajani J. Laparoscopic staging for gastric cancer. Surgery 1996; 119: 611–614.PubMedCrossRefGoogle Scholar
  29. 29.
    Stell DA, Carter CR, Stewart I, Anderson JR. Prospective comparison of laparoscopy, ultrasonography and computed tomography in the staging of gastric cancer [see comments]. Br J Surg 1996; 83: 1260–1262.PubMedCrossRefGoogle Scholar
  30. 30.
    Finch MD, John TG, Garden Of Allan PL, Paterson-Brown S. Laparoscopic ultrasonography for staging gastroesophageal cancer. Surgery 1997; 121: 10–17.PubMedCrossRefGoogle Scholar
  31. 31.
    Gouma DJ, de Wit LT, Nieveen van Dijkum E, et al. Laparoscopic ultrasonography for staging of gastrointestinal malignancy. Scand J Gastroenterol Suppl 1996; 218: 43–49.PubMedCrossRefGoogle Scholar

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© Springer Science+Business Media New York 2001

Authors and Affiliations

  • Steven M. Yood
  • Demetrius E. M. Litwin

There are no affiliations available

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