Laparoscopic gastrectomy with lymph node dissection for gastric cancer.
Laparoscopic gastrectomy with lymph node dissection for gastric cancer.
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DOI：
10.1007/s10120-006-0380-9
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发表时间：
2006-01-01
期刊：
影响因子：
--
通讯作者：
Kitano, Seigo
中科院分区：
文献类型：
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作者：
Shiraishi, Norio;Yasuda, Kazuhiro;Kitano, Seigo
自1991年以来，腹腔镜手术被用于治疗胃癌，并在世界各地，特别是在日本和韩国得到了广泛的应用。我们回顾了英文文献，以阐明腹腔镜胃切除加淋巴清扫治疗胃癌的现状和相关问题。在日本，早期胃癌(T1/T2，N0)被认为是唯一的腹腔镜胃切除术适应证。到目前为止，几乎没有基于长期结果的高水平证据支持腹腔镜胃切除术治疗癌症，但报告提供了3级证据，表明该手术在技术上是安全的，并且比开腹手术产生更好的短期结果；即恢复更快，住院时间更短，疼痛更少，美容效果更好。然而，对于作为癌症治疗手段的腹腔镜胃切除术的肿瘤学结果的研究还很缺乏。为了将腹腔镜术确立为胃癌的标准治疗方法，有必要进行多中心随机对照试验，以比较腹腔镜术和开腹手术的短期和长期疗效。
Since 1991, laparoscopic surgery has been adopted for the treatment of gastric cancer, and it has been performed worldwide, especially in Japan and Korea. We reviewed the English-language literature to clarify the current status of and problems associated with laparoscopic gastrectomy with lymph node dissection as treatment for gastric cancer. In Japan, early-stage gastric cancer (T1/T2, N0) is considered the only indication for laparoscopic gastrectomy. As yet, there is little high-level evidence based on long-term outcome supporting laparoscopic gastrectomy for cancer, but reports have provided level 3 evidence that the procedure is technically safe, and that it yields better short-term outcomes than open surgery; that is, recovery is faster, hospital stay is shorter, there is less pain, and cosmesis is better. However, investigation into the oncological outcome of laparoscopic gastrectomy as treatment for cancer is lacking. To establish laparoscopic surgery as a standard treatment for gastric cancer, multicenter randomized controlled trials to compare the short- and long-term outcomes of laparoscopic surgery versus open surgery are necessary.