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A systematic review of laparoscopic total gastrectomy for gastric cancer

Gastric Cancer, 2015, Vol.18(2), pp.218-226 [Peer Reviewed Journal]

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  • Title:
    A systematic review of laparoscopic total gastrectomy for gastric cancer
  • Author: Kunisaki, Chikara ; Makino, Hirochika ; Takagawa, Ryo ; Kimura, Jun ; Ota, Mitsuyoshi ; Ichikawa, Yasushi ; Kosaka, Takashi ; Akiyama, Hirotoshi ; Endo, Itaru
  • Found In: Gastric Cancer, 2015, Vol.18(2), pp.218-226 [Peer Reviewed Journal]
  • Subjects: Laparoscopic total gastrectomy ; Gastric cancer ; Systematic review
  • Language: English
  • Description: Byline: Chikara Kunisaki (1), Hirochika Makino (1), Ryo Takagawa (1), Jun Kimura (1), Mitsuyoshi Ota (1), Yasushi Ichikawa (2), Takashi Kosaka (3), Hirotoshi Akiyama (3), Itaru Endo (3) Keywords: Laparoscopic total gastrectomy; Gastric cancer; Systematic review Abstract: Background Laparoscopic total gastrectomy (LTG) has been performed since 1999. Although surgical outcomes have been reported from Japan, Korea, China, and many Western countries, the effectiveness of this technique has not been conclusively established. This study therefore aimed to review the literature systematically. Methods Our search of the research literature identified 150 studies, which were mostly retrospective and from single institutions. Results There has recently been a remarkable increase in the number of studies from Korea, and the number of patients included in studies has increased since 2009. In most studies, the surgical procedures were longer, blood loss was reduced, and the number of retrieved lymph nodes was the same in the LTG group as in the open total gastrectomy group. The incidence of postoperative complications and that of inflammation during postoperative recovery were the same in these two groups. Conclusions During LTG, the method used for esophagojejunostomy is important for surgical reliability and to reduce postoperative complications. There has been rapid development of new techniques from the level of esophagojejunostomy through a small skin incision to the high level of intracorporeal esophagojejunostomy using various techniques. A nationwide prospective phase II study is urgently needed to establish the value of LTG. Author Affiliation: (1) Department of Surgery, Gastroenterological Center, Yokohama City University, 4-57, Urafune-cho, Minami-ku, Yokohama, 232-0024, Japan (2) Department of Clinical Oncology, Graduate School of Medicine, Yokohama City University, Yokohama, Japan (3) Department of Gastroenterological Surgery, Graduate School of Medicine, Yokohama City University, Yokohama, Japan Article History: Registration Date: 26/01/2015 Received Date: 21/12/2014 Accepted Date: 25/01/2015 Online Date: 11/02/2015
  • Identifier: ISSN: 1436-3291 ; E-ISSN: 1436-3305 ; DOI: 10.1007/s10120-015-0474-3

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