Advances in laparoscopic surgery for the treatment of advanced gastric cancer in China

Eur J Surg Oncol. 2020 Oct;46(10 Pt B):e7-e13. doi: 10.1016/j.ejso.2020.07.015. Epub 2020 Jul 17.

Abstract

Most gastric cancer (GC) cases are diagnosed at an advanced stage in China. Because of its high morbidity and mortality, GC remains a major health crisis in China. Surgical resection is the only potentially curative treatment for GC. Owing to being minimally invasive, laparoscopic radical gastrectomy has been widely used in various countries, especially in East Asia, since Kitano first reported the feasibility and safety of this technique. Although laparoscopic gastric surgery was introduced relatively late in China, Chinese surgeons have made unique contributions to the research and clinical practice of laparoscopic gastric surgery due to the large number of clinical cases. This review focuses on the progress in laparoscopic gastrectomy for advanced stage GC in China, including reasonable approaches in different areas and oncologic efficacy of laparoscopic surgery, and introduce advanced technology to facilitate surgeons to rapidly overcome the learning curve in clinical practice.

Keywords: Advance; Advanced stage; China; Clinical study; Gastric cancer; Laparoscopic gastrectomy.

Publication types

  • Research Support, Non-U.S. Gov't
  • Review

MeSH terms

  • Anastomosis, Roux-en-Y
  • Carcinoma / pathology
  • Carcinoma / surgery*
  • China
  • Coloring Agents
  • Esophagus / surgery
  • Gastrectomy / methods*
  • Humans
  • Imaging, Three-Dimensional
  • Indocyanine Green
  • Jejunum / surgery
  • Laparoscopy / methods*
  • Lymph Node Excision / methods*
  • Neoplasm Staging
  • Optical Imaging
  • Plastic Surgery Procedures / methods
  • Stomach Neoplasms / pathology
  • Stomach Neoplasms / surgery*

Substances

  • Coloring Agents
  • Indocyanine Green