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Current Status and Future Perspectives of Minimally Invasive Surgery for Early Gastric Cancer Masashi Takeuchi 1 , Koichi Suda 1,2 , Ichiro Uyama 2 , Yuko Kitagawa 1 1Department of Surgery, School of Medicine, Keio University, Tokyo 2Department of Surgery, Fujita Health University, Toyoake, Japan Keyword: 早期胃癌 , 腹腔鏡下手術 , ロボット支援手術 , センチネルリンパ節生検 pp.710-718
Published Date 2018/5/24
DOI https://doi.org/10.11477/mf.1403201366
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 Although LG has several advantages, including better cosmetic outcomes, less pain, reduced blood loss, and faster recovery compared with open laparotomy, it has not demonstrated significant improvement in long-term outcomes owing to its disadvantages such as longer operation time, technical complexity, and an extended learning curve. The JCOG0703 trial confirmed the safety of laparoscopic distal gastrectomy for cStageI gastric cancer performed by credentialed surgeons, which the Japanese Gastric Cancer Treatment Guidelines(ver.4)has recognized as a standard treatment option. Recently, experiments seeking to improve minimally invasive techniques and preserve function have investigated the clinical efficacy of robotic surgery and sentinel node navigation surgery, which participate in the Japanese Advanced Medical Technology B program.


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電子版ISSN 1882-1219 印刷版ISSN 0536-2180 医学書院

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