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van den Berg et al. Mini-invasive Surg 2019;3:23 Mini-invasive Surgery
DOI: 10.20517/2574-1225.2019.07

Review Open Access

Gastrectomy: the expanding role of minimally
invasive surgery in gastric cancer

Jan Willem van den Berg, Hamish Shilton, Edward Cheong

Department of Upper GI Surgery and General Surgery, Norfolk and Norwich University Hospital, Colney lane, Norwich NR4 7UY,
United Kingdom.
Correspondence to: Prof. Edward Cheong, Department of Upper GI Surgery and General Surgery, Norfolk and Norwich University
Hospital, Colney lane, Norwich NR4 7UY, United Kingdom. E-mail: edward.cheong@nnuh.nhs.uk

How to cite this article: van den Berg JW, Shilton H, Cheong E. Gastrectomy: the expanding role of minimally invasive surgery in
gastric cancer. Mini-invasive Surg 2019;3:23. http://dx.doi.org/10.20517/2574-1225.2019.07

Received: 27 Feb 2019 First Decision: 11 Jun 2019 Revised: 4 Jul 2019 Accepted: 19 Jul 2019 Published: 30 Jul 2019

Science Editor: Tetsu Fukunaga Copy Editor: Jia-Jia Meng Production Editor: Jing Yu

Abstract

Gastric cancer remains one of the most frequent cancers worldwide. Currently the only potentially curative
treatment is surgery, often in combination with perioperative chemotherapy. Gastric cancer surgery is associated
with significant morbidity. However, over the last few decades several potential advances have been introduced to
improve the treatment for gastric cancer patients. Introduction of laparoscopic gastric cancer surgery has shown
promising results and therefore gained popularity worldwide. This review describes an overview of laparoscopic
gastrectomy for gastric cancer patients. In general, the introduction of laparoscopic surgery has shown improvement
in the short-term outcomes of gastric cancer treatment. Laparoscopic approach for gastric cancer is feasible, safe
and should be performed in experienced high volume centres. However, results from randomised trials in advanced
gastric cancer are awaited to further determine the effect of a laparoscopic gastrectomy on oncological and long-
term outcomes.

Keywords: Gastrectomy, laparoscopy, gastric cancer, laparoscopic gastrectomy, minimal invasive surgery

INTRODUCTION
[1]
Gastric cancer remains the fifth most frequent cancer and the third cause of cancer death worldwide .
Open gastrectomy (OG) has been the mainstay of curative treatment, however, an open approach is
[2]
associated with significant morbidity . Therefore, laparoscopic gastrectomy (LG) for gastric cancer

© The Author(s) 2019. Open Access This article is licensed under a Creative Commons Attribution 4.0
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