Laparoscopic gastrectomy is considered as an indispensable option between endoscopic resection and standard gastrectomy with open laparotomy for patients with early-stage gastric cancer.However,the extent of gastrecto...Laparoscopic gastrectomy is considered as an indispensable option between endoscopic resection and standard gastrectomy with open laparotomy for patients with early-stage gastric cancer.However,the extent of gastrectomy and remnant gastric function may affect patients’quality of life(QOL)after surgery.Therefore,function-preserving gastrectomy in addition to laparoscopic surgery could be considered in patients with early-stage gastric cancer.A prospective multicenter trial and meta-analyses of sentinel node(SN)mapping and biopsy for early-stage gastric cancer have demonstrated favorable SN detection rates and accuracy of nodal metastatic status.Although a combination of radioactive colloids with blue dyes as tracers is currently considered as the promising procedure of SN mapping in early-stage gastric cancer,several new technologies,such as indocyanine green fluorescence imaging,may markedly improve its accuracy.For early-stage gastric cancer,the development of laparoscopic personalized minimized gastrectomy with SN mapping may help retain patents’QOL after surgery.A recently developed full-thickness partial gastrectomy with SN mapping and basin dissection would become a reliable minimally invasive gastrectomy for treating patients with cN0 early-stage gastric cancer.展开更多
文摘Laparoscopic gastrectomy is considered as an indispensable option between endoscopic resection and standard gastrectomy with open laparotomy for patients with early-stage gastric cancer.However,the extent of gastrectomy and remnant gastric function may affect patients’quality of life(QOL)after surgery.Therefore,function-preserving gastrectomy in addition to laparoscopic surgery could be considered in patients with early-stage gastric cancer.A prospective multicenter trial and meta-analyses of sentinel node(SN)mapping and biopsy for early-stage gastric cancer have demonstrated favorable SN detection rates and accuracy of nodal metastatic status.Although a combination of radioactive colloids with blue dyes as tracers is currently considered as the promising procedure of SN mapping in early-stage gastric cancer,several new technologies,such as indocyanine green fluorescence imaging,may markedly improve its accuracy.For early-stage gastric cancer,the development of laparoscopic personalized minimized gastrectomy with SN mapping may help retain patents’QOL after surgery.A recently developed full-thickness partial gastrectomy with SN mapping and basin dissection would become a reliable minimally invasive gastrectomy for treating patients with cN0 early-stage gastric cancer.
