Unit:
Κατεύθυνση Προηγμένη Λαπαροσκοπική και Βαριατρική ΧειρουργικήLibrary of the School of Health Sciences
Author:
Zoulamoglou Menelaos
Supervisors info:
Θεοδώρου Δημήτριος, Καθηγητής, Ιατρική Σχολή, ΕΚΠΑ
Τούτουζας Κωνσταντίνος, Καθηγητής, Ιατρική Σχολή, ΕΚΠΑ
Θεοδωρόπουλος Γεώργιος, Καθηγητής, Ιατρική Σχολή, ΕΚΠΑ
Original Title:
Ελάχιστα επεμβατική έναντι ανοιχτής γαστρεκτομής. Σύγκριση περιεγχειρητικών και ογκολογικών αποτελεσμάτων
Translated title:
Minimal invasive versus open gastrectomy. Comparison of perioperative and oncological outcomes
Summary:
Gastric cancer is the fifth most common cancer and the third most common cause of cancer death worldwide, in both sexes. It is a form of malignancy characterized by great heterogeneity, as well as aggression, which makes early diagnosis and treatment of the disease imperative. Surgical excision is undoubtedly the only radical treatment for gastric cancer. Nowadays, the treatment of gastric cancer can be achieved in the form of a minimally invasive (laparoscopic or robotic) and an open gastrectomy approach. However, the safety and efficacy of these two surgical approaches is still debated in the surgical community. The purpose of this review was to compare the surgical and oncological results of minimally invasive versus traditional gastrectomy. The review of the international literature showed the clear superiority of laparoscopic and robotic gastrectomy over traditional open gastrectomy even in cases of advanced malignancy, as well as in cases of burdened patients such as patients over the age of 70 years. In conclusion, minimally invasive gastrectomy is oncologically comparable to traditional gastrectomy, while offering significantly lower rates of short-term and long-term surgical complications, which ultimately contribute to optimizing the quality of life of patients with gastric cancer and improving survival.
Main subject category:
Health Sciences
Keywords:
Open gastrectomy; Traditional gastrectomy; Minimally invasive gastrectomy; Laparoscopic gastrectomy; Robotic gastrectomy; Gastric cancer
