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Open Access 01-06-2017 | Review Article

Local resection of the stomach for gastric cancer

Authors: Shinichi Kinami, Hiroshi Funaki, Hideto Fujita, Yasuharu Nakano, Nobuhiko Ueda, Takeo Kosaka

Published in: Surgery Today | Issue 6/2017

Abstract

The local resection of the stomach is an ideal method for preventing postoperative symptoms. There are various procedures for performing local resection, such as the laparoscopic lesion lifting method, non-touch lesion lifting method, endoscopic full-thickness resection, and laparoscopic endoscopic cooperative surgery. After the invention and widespread use of endoscopic submucosal dissection, local resection has become outdated as a curative surgical technique for gastric cancer. Nevertheless, local resection of the stomach in the treatment of gastric cancer in now expected to make a comeback with the clinical use of sentinel node navigation surgery. However, there are many issues associated with local resection for gastric cancer, other than the normal indications. These include gastric deformation, functional impairment, ensuring a safe surgical margin, the possibility of inducing peritoneal dissemination, and the associated increase in the risk of metachronous gastric cancer. In view of these issues, there is a tendency to regard local resection as an investigative treatment, to be applied only in carefully selected cases. The ideal model for local resection of the stomach for gastric cancer would be a combination of endoscopic full-thickness resection of the stomach using an ESD device and hand sutured closure using a laparoscope or a surgical robot, for achieving both oncological safety and preserved functions.

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Title: Local resection of the stomach for gastric cancer
Authors: Shinichi Kinami
Hiroshi Funaki
Hideto Fujita
Yasuharu Nakano
Nobuhiko Ueda
Takeo Kosaka
Publication date: 01-06-2017
Publisher: Springer Japan
Published in: Surgery Today / Issue 6/2017
Print ISSN: 0941-1291
Electronic ISSN: 1436-2813
DOI: https://doi.org/10.1007/s00595-016-1371-z

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Local resection of the stomach for gastric cancer

Abstract

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Abstract

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