Current Issues in Reduced-Port Gastrectomy: A Comprehensive Review.

IF 3.2 4区 医学 Q2 GASTROENTEROLOGY & HEPATOLOGY Journal of Gastric Cancer Pub Date : 2024-01-01 DOI:10.5230/jgc.2024.24.e9
Jong Won Kim
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Abstract

Reduced-port gastrectomy (RPG) includes all procedures derived from various efforts to minimize surgical invasiveness, with single-incision laparoscopic gastrectomy (SILG) being the ultimate reduced-port technique. However, there are challenges related to its feasibility, oncological validity, training, and education. This review describes the current issues and challenges, as well as the future prospects of RPG for gastric cancer. Gastrectomy, which started as an open surgery, has evolved into a laparoscopic surgery. With the advancements in laparoscopic technology, SILG has been used to minimize surgical scarring. However, owing to the technical difficulties of SILG, cases involving the addition of 1 trocar or needle grasper alongside the multichannel port have also been reported. Additionally, 3-port laparoscopic gastrectomy (3PLG) using only 3 trocars is also being performed. RPG, as a concept, includes a range of approaches such as SILG, 2-port laparoscopic gastrectomy, and 3PLG. These techniques aimed to reduce the number of ports or incisions required for laparoscopic gastrectomy. Despite technical difficulties, RPGs offer numerous advantages, including minimal invasiveness, excellent cosmetic outcomes, and the potential for improved post-operative recovery, such as reduced length of hospital stay and post-operative pain. It could be considered similar to conventional laparoscopic gastrectomy, and may not be oncologically inferior. Ongoing studies, such as the KLASS 12, are required to gain further insights.

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减孔胃切除术的当前问题:全面回顾。
小切口胃切除术(RPG)包括所有从各种努力中衍生出来的手术,以最大限度地减少手术创口,其中单切口腹腔镜胃切除术(SILG)是最终的小切口技术。然而,单孔腹腔镜胃切除术在可行性、肿瘤学有效性、培训和教育方面仍面临挑战。这篇综述描述了目前的问题和挑战,以及 RPG 治疗胃癌的未来前景。胃切除术从最初的开腹手术发展成为腹腔镜手术。随着腹腔镜技术的进步,SILG 被用于最大限度地减少手术瘢痕。然而,由于 SILG 的技术难度,在多通道端口旁增加一个套管或抓针器的病例也有报道。此外,仅使用 3 个套管的 3 孔腹腔镜胃切除术(3PLG)也在进行中。RPG 作为一个概念,包括一系列方法,如 SILG、双端口腹腔镜胃切除术和 3PLG 等。这些技术旨在减少腹腔镜胃切除术所需的切口数量。尽管存在技术上的困难,腹腔镜胃切除术仍具有许多优点,包括微创、良好的美容效果以及改善术后恢复的潜力,如缩短住院时间和减少术后疼痛。它可被视为类似于传统的腹腔镜胃切除术,而且在肿瘤方面可能并不逊色。要获得进一步的认识,还需要进行中的研究,如 KLASS 12 研究。
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来源期刊
Journal of Gastric Cancer
Journal of Gastric Cancer Biochemistry, Genetics and Molecular Biology-Cancer Research
CiteScore
4.30
自引率
12.00%
发文量
36
期刊介绍: The Journal of Gastric Cancer (J Gastric Cancer) is an international peer-reviewed journal. Each issue carries high quality clinical and translational researches on gastric neoplasms. Editorial Board of J Gastric Cancer publishes original articles on pathophysiology, molecular oncology, diagnosis, treatment, and prevention of gastric cancer as well as articles on dietary control and improving the quality of life for gastric cancer patients. J Gastric Cancer includes case reports, review articles, how I do it articles, editorials, and letters to the editor.
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