Skip to main content

Minimally Invasive Surgery of Gastric Cancer

  • Chapter
  • First Online:
Minimally Invasive Surgery for Upper Abdominal Cancer

Abstract

Medicine including surgical techniques has been flourishing since ancient societies. All efforts have aimed to increase patient’s survival in addition to quality of life. Lately, along with the increased popularity of laparoscopic surgery, minimally invasive surgical techniques have taken its place in surgical practice for various type of procedures, owing to several advantages such as rapid recovery, less pain as well as improved cosmetic outcomes [1]. However, for treatment of malignant diseases, safety and feasibility of minimally invasive surgery (MIS) has remained under debate for years until recently. With the increasing amount of evidence and surgical experience, MIS is now commonly favored practice for oncological surgery that made of more sophisticated processes compared to those of surgery for benign diseases [2]. Whereas MIS represents a developing trend, some limitations faced by surgeon during conventional laparoscopy led surgeons for innovative solutions and robotic technology has been introduced with many advantages including articulated instruments, three-dimensional images, and tremor filtering. Although several robotic systems have been developed, its popularity has increased just after the approval of Da Vinci robotic system (Intuitive Surgical, California, USA), many robotic systems have been started being used worldwide [3].

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 109.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 139.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 199.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Arezzo A. The past, the present, and the future of minimally invasive therapy in laparoscopic surgery: a review and speculative outlook. Minim Invasive Ther Allied Technol. 2014;23(5):253–60. doi:10.3109/13645706.2014.900084.

    Article  PubMed  Google Scholar 

  2. Son T, Hyung WJ. Laparoscopic gastric cancer surgery: current evidence and future perspectives. World J Gastroenterol. 2016;22(2):727–35. doi:10.3748/wjg.v22.i2.727.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  3. Son T, Kwon IG, Hyung WJ. Minimally invasive surgery for gastric cancer treatment: current status and future perspectives. Gut Liver. 2014;8(3):229–36. doi:10.5009/gnl.2014.8.3.229.

    Article  PubMed  PubMed Central  Google Scholar 

  4. Jeong O, Park YK. Clinicopathological features and surgical treatment of gastric cancer in South Korea: the results of 2009 nationwide survey on surgically treated gastric cancer patients. J Gastric Cancer. 2011;11(2):69–77. doi:10.5230/jgc.2011.11.2.69.

    Article  PubMed  PubMed Central  Google Scholar 

  5. Kitano S, Iso Y, Moriyama M, Sugimachi K. Laparoscopy-assisted Billroth I gastrectomy. Surg Laparosc Endosc. 1994;4(2):146–8.

    CAS  PubMed  Google Scholar 

  6. Antonakis PT, Ashrafian H, Isla AM. Laparoscopic gastric surgery for cancer: where do we stand? World J Gastroenterol. 2014;20(39):14280–91. doi:10.3748/wjg.v20.i39.14280.

    Article  PubMed  PubMed Central  Google Scholar 

  7. Japanese Gastric Cancer Association. Japanese gastric cancer treatment guidelines 2014 (ver. 4). Gastric Cancer. 2016;20(1):1–19. doi:10.1007/s10120-016-0622-4.

    Article  PubMed Central  Google Scholar 

  8. Guner A, Hyung WJ. Minimally invasive surgery for gastric cancer. Ulus Cerrahi Derg. 2014;30(1):1–9. doi:10.5152/ucd.2014.2607.

    PubMed  Google Scholar 

  9. Woo Y, Hyung WJ, Kim HI, Obama K, Son T, Noh SH. Minimizing hepatic trauma with a novel liver retraction method: a simple liver suspension using gauze suture. Surg Endosc. 2011;25(12):3939–45. doi:10.1007/s00464-011-1788-9.

    Article  PubMed  Google Scholar 

  10. Kim HI, Hyung WJ, Lee CR, Lim JS, An JY, Cheong JH, Choi SH, Noh SH. Intraoperative portable abdominal radiograph for tumor localization: a simple and accurate method for laparoscopic gastrectomy. Surg Endosc. 2011;25(3):958–63. doi:10.1007/s00464-010-1288-3.

    Article  PubMed  Google Scholar 

  11. Kanaya S, Kawamura Y, Kawada H, Iwasaki H, Gomi T, Satoh S, Uyama I. The delta-shaped anastomosis in laparoscopic distal gastrectomy: analysis of the initial 100 consecutive procedures of intracorporeal gastroduodenostomy. Gastric Cancer. 2011;14(4):365–71. doi:10.1007/s10120-011-0054-0.

    Article  PubMed  Google Scholar 

  12. Deng Y, Zhang Y, Guo TK. Laparoscopy-assisted versus open distal gastrectomy for early gastric cancer: a meta-analysis based on seven randomized controlled trials. Surg Oncol. 2015;24(2):71–7. doi:10.1016/j.suronc.2015.02.003.

    Article  CAS  PubMed  Google Scholar 

  13. Kim W, Kim HH, Han SU, Kim MC, Hyung WJ, Ryu SW, Cho GS, Kim CY, Yang HK, Park DJ, Song KY, Lee SI, Ryu SY, Lee JH, Lee HJ. Decreased morbidity of laparoscopic distal gastrectomy compared with open distal gastrectomy for stage I gastric cancer: short-term outcomes from a multicenter randomized controlled trial (KLASS-01). Ann Surg. 2016;263(1):28–35. doi:10.1097/sla.0000000000001346.

    Article  PubMed  Google Scholar 

  14. Katai H, Mizusawa J, Katayama H, Takagi M, Yoshikawa T, Fukagawa T, Terashima M, Misawa K, Teshima S, Koeda K, Nunobe S, Fukushima N, Yasuda T, Asao Y, Fujiwara Y, Sasako M. Short-term surgical outcomes from a phase III study of laparoscopy-assisted versus open distal gastrectomy with nodal dissection for clinical stage IA/IB gastric cancer: Japan Clinical Oncology Group Study JCOG0912. Gastric Cancer. 2016. [Epub ahead of print]. doi:10.1007/s10120-016-0646-9

  15. Hu Y, Huang C, Sun Y, Su X, Cao H, Hu J, Xue Y, Suo J, Tao K, He X, Wei H, Ying M, Hu W, Du X, Chen P, Liu H, Zheng C, Liu F, Yu J, Li Z, Zhao G, Chen X, Wang K, Li P, Xing J, Li G. Morbidity and mortality of laparoscopic versus open D2 distal gastrectomy for advanced gastric cancer: a randomized controlled trial. J Clin Oncol. 2016;34(12):1350–7. doi:10.1200/jco.2015.63.7215.

    Article  PubMed  Google Scholar 

  16. Kim KH, Kim SH, Kim MC. How much progress has been made in minimally invasive surgery for gastric cancer in Korea?: a viewpoint from Korean prospective clinical trials. Medicine (Baltimore). 2014;93(28):e233. doi:10.1097/MD.0000000000000233.

    Article  Google Scholar 

  17. Song J, Oh SJ, Kang WH, Hyung WJ, Choi SH, Noh SH. Robot-assisted gastrectomy with lymph node dissection for gastric cancer: lessons learned from an initial 100 consecutive procedures. Ann Surg. 2009;249(6):927–32. doi:10.1097/01.sla.0000351688.64999.73.

    Article  PubMed  Google Scholar 

  18. Yang Y, Wang G, He J, Wu F, Ren S. Robotic gastrectomy versus open gastrectomy in the treatment of gastric cancer. J Cancer Res Clin Oncol. 2016;143(1):105–14. doi:10.1007/s00432-016-2240-2.

    Article  PubMed  Google Scholar 

  19. Wang G, Jiang Z, Zhao J, Liu J, Zhang S, Zhao K, Feng X, Li J. Assessing the safety and efficacy of full robotic gastrectomy with intracorporeal robot-sewn anastomosis for gastric cancer: a randomized clinical trial. J Surg Oncol. 2016;113(4):397–404. doi:10.1002/jso.24146.

    Article  PubMed  Google Scholar 

  20. Caruso S, Patriti A, Marrelli D, Ceccarelli G, Ceribelli C, Roviello F, Casciola L. Open vs robot-assisted laparoscopic gastric resection with D2 lymph node dissection for adenocarcinoma: a case-control study. Int J Med Rob Comput Assisted Surg. 2011;7(4):452–8. doi:10.1002/rcs.416.

    Article  Google Scholar 

  21. Kim HI, Han SU, Yang HK, Kim YW, Lee HJ, Ryu KW, Park JM, An JY, Kim MC, Park S, Song KY, Oh SJ, Kong SH, Suh BJ, Yang DH, Ha TK, Kim YN, Hyung WJ. Multicenter prospective comparative study of robotic versus laparoscopic gastrectomy for gastric adenocarcinoma. Ann Surg. 2016;263(1):103–9. doi:10.1097/SLA.0000000000001249.

    Article  PubMed  Google Scholar 

  22. Park JM, Kim HI, Han SU, Yang HK, Kim YW, Lee HJ, An JY, Kim MC, Park S, Song KY, Oh SJ, Kong SH, Suh BJ, Yang DH, Ha TK, Hyung WJ, Ryu KW. Who may benefit from robotic gastrectomy?: a subgroup analysis of multicenter prospective comparative study data on robotic versus laparoscopic gastrectomy. Eur J Surg Oncol. 2016;42(12):1944–9. doi:10.1016/j.ejso.2016.07.012.

    Article  CAS  PubMed  Google Scholar 

  23. Son T, Lee JH, Kim YM, Kim HI, Noh SH, Hyung WJ. Robotic spleen-preserving total gastrectomy for gastric cancer: comparison with conventional laparoscopic procedure. Surg Endosc. 2014;28(9):2606–15. doi:10.1007/s00464-014-3511-0.

    Article  PubMed  Google Scholar 

  24. Kim KM, An JY, Kim HI, Cheong JH, Hyung WJ, Noh SH. Major early complications following open, laparoscopic and robotic gastrectomy. Br J Surg. 2012;99(12):1681–7. doi:10.1002/bjs.8924.

    Article  CAS  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Woo Jin Hyung M.D., Ph.D. .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2017 Springer International Publishing AG

About this chapter

Cite this chapter

Guner, A., Hyung, W.J. (2017). Minimally Invasive Surgery of Gastric Cancer. In: Cuesta, M. (eds) Minimally Invasive Surgery for Upper Abdominal Cancer. Springer, Cham. https://doi.org/10.1007/978-3-319-54301-7_16

Download citation

  • DOI: https://doi.org/10.1007/978-3-319-54301-7_16

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-54300-0

  • Online ISBN: 978-3-319-54301-7

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics