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MINIMALLY INVASIVE SURGERY FOR GASTRIC CANCER: TIME TO CHANGE THE PARADIGM
INTRODUCTION: Minimally invasive surgery widely used to treat benign disorders of the digestive system, has become the focus of intense study in recent years in the field of surgical oncology. Since then, the experience with this kind of approach has grown, aiming to provide the same oncological out...
Autores principales: | , , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Colégio Brasileiro de Cirurgia Digestiva
2016
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4944749/ https://www.ncbi.nlm.nih.gov/pubmed/27438040 http://dx.doi.org/10.1590/0102-6720201600020013 |
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author | BARCHI, Leandro Cardoso JACOB, Carlos Eduardos BRESCIANI, Cláudio José Caldas YAGI, Osmar Kenji MUCERINO, Donato Roberto LOPASSO, Fábio Pinatel MESTER, Marcelo RIBEIRO-JÚNIOR, Ulysses DIAS, André Roncon RAMOS, Marcus Fernando Kodama Pertille CECCONELLO, Ivan ZILBERSTEIN, Bruno |
author_facet | BARCHI, Leandro Cardoso JACOB, Carlos Eduardos BRESCIANI, Cláudio José Caldas YAGI, Osmar Kenji MUCERINO, Donato Roberto LOPASSO, Fábio Pinatel MESTER, Marcelo RIBEIRO-JÚNIOR, Ulysses DIAS, André Roncon RAMOS, Marcus Fernando Kodama Pertille CECCONELLO, Ivan ZILBERSTEIN, Bruno |
author_sort | BARCHI, Leandro Cardoso |
collection | PubMed |
description | INTRODUCTION: Minimally invasive surgery widely used to treat benign disorders of the digestive system, has become the focus of intense study in recent years in the field of surgical oncology. Since then, the experience with this kind of approach has grown, aiming to provide the same oncological outcomes and survival to conventional surgery. Regarding gastric cancer, surgery is still considered the only curative treatment, considering the extent of resection and lymphadenectomy performed. Conventional surgery remains the main modality performed worldwide. Notwithstanding, the role of the minimally invasive access is yet to be clarified. OBJECTIVE: To evaluate and summarize the current status of minimally invasive resection of gastric cancer. METHODS: A literature review was performed using Medline/PubMed, Cochrane Library and SciELO with the following headings: gastric cancer, minimally invasive surgery, robotic gastrectomy, laparoscopic gastrectomy, stomach cancer. The language used for the research was English. RESULTS: 28 articles were considered, including randomized controlled trials, meta-analyzes, prospective and retrospective cohort studies. CONCLUSION: Minimally invasive gastrectomy may be considered as a technical option in the treatment of early gastric cancer. As for advanced cancer, recent studies have demonstrated the safety and feasibility of the laparoscopic approach. Robotic gastrectomy will probably improve outcomes obtained with laparoscopy. However, high cost is still a barrier to its use on a large scale. |
format | Online Article Text |
id | pubmed-4944749 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2016 |
publisher | Colégio Brasileiro de Cirurgia Digestiva |
record_format | MEDLINE/PubMed |
spelling | pubmed-49447492016-07-15 MINIMALLY INVASIVE SURGERY FOR GASTRIC CANCER: TIME TO CHANGE THE PARADIGM BARCHI, Leandro Cardoso JACOB, Carlos Eduardos BRESCIANI, Cláudio José Caldas YAGI, Osmar Kenji MUCERINO, Donato Roberto LOPASSO, Fábio Pinatel MESTER, Marcelo RIBEIRO-JÚNIOR, Ulysses DIAS, André Roncon RAMOS, Marcus Fernando Kodama Pertille CECCONELLO, Ivan ZILBERSTEIN, Bruno Arq Bras Cir Dig Review Article INTRODUCTION: Minimally invasive surgery widely used to treat benign disorders of the digestive system, has become the focus of intense study in recent years in the field of surgical oncology. Since then, the experience with this kind of approach has grown, aiming to provide the same oncological outcomes and survival to conventional surgery. Regarding gastric cancer, surgery is still considered the only curative treatment, considering the extent of resection and lymphadenectomy performed. Conventional surgery remains the main modality performed worldwide. Notwithstanding, the role of the minimally invasive access is yet to be clarified. OBJECTIVE: To evaluate and summarize the current status of minimally invasive resection of gastric cancer. METHODS: A literature review was performed using Medline/PubMed, Cochrane Library and SciELO with the following headings: gastric cancer, minimally invasive surgery, robotic gastrectomy, laparoscopic gastrectomy, stomach cancer. The language used for the research was English. RESULTS: 28 articles were considered, including randomized controlled trials, meta-analyzes, prospective and retrospective cohort studies. CONCLUSION: Minimally invasive gastrectomy may be considered as a technical option in the treatment of early gastric cancer. As for advanced cancer, recent studies have demonstrated the safety and feasibility of the laparoscopic approach. Robotic gastrectomy will probably improve outcomes obtained with laparoscopy. However, high cost is still a barrier to its use on a large scale. Colégio Brasileiro de Cirurgia Digestiva 2016 /pmc/articles/PMC4944749/ /pubmed/27438040 http://dx.doi.org/10.1590/0102-6720201600020013 Text en http://creativecommons.org/licenses/by/4.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution License |
spellingShingle | Review Article BARCHI, Leandro Cardoso JACOB, Carlos Eduardos BRESCIANI, Cláudio José Caldas YAGI, Osmar Kenji MUCERINO, Donato Roberto LOPASSO, Fábio Pinatel MESTER, Marcelo RIBEIRO-JÚNIOR, Ulysses DIAS, André Roncon RAMOS, Marcus Fernando Kodama Pertille CECCONELLO, Ivan ZILBERSTEIN, Bruno MINIMALLY INVASIVE SURGERY FOR GASTRIC CANCER: TIME TO CHANGE THE PARADIGM |
title | MINIMALLY INVASIVE SURGERY FOR GASTRIC CANCER: TIME TO CHANGE THE
PARADIGM |
title_full | MINIMALLY INVASIVE SURGERY FOR GASTRIC CANCER: TIME TO CHANGE THE
PARADIGM |
title_fullStr | MINIMALLY INVASIVE SURGERY FOR GASTRIC CANCER: TIME TO CHANGE THE
PARADIGM |
title_full_unstemmed | MINIMALLY INVASIVE SURGERY FOR GASTRIC CANCER: TIME TO CHANGE THE
PARADIGM |
title_short | MINIMALLY INVASIVE SURGERY FOR GASTRIC CANCER: TIME TO CHANGE THE
PARADIGM |
title_sort | minimally invasive surgery for gastric cancer: time to change the
paradigm |
topic | Review Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4944749/ https://www.ncbi.nlm.nih.gov/pubmed/27438040 http://dx.doi.org/10.1590/0102-6720201600020013 |
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