Laparoscopic and endoscopic cooperative surgery for early gastric cancer: Perspective for actual practice

Early gastric cancer (EGC) has a desirable prognosis compared with advanced gastric cancer (AGC). The surgical concept of EGC has altered from simply emphasizing radical resection to both radical resection and functional preservation. As the mainstream surgical methods for EGC, both endoscopic resec...

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Main Authors: Peng-yue Zhao, Zhao-fu Ma, Ya-nan Jiao, Yang Yan, Song-yan Li, Xiao-hui Du
Format: Article
Language:English
Published: Frontiers Media S.A. 2022-10-01
Series:Frontiers in Oncology
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fonc.2022.969628/full
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author Peng-yue Zhao
Zhao-fu Ma
Ya-nan Jiao
Yang Yan
Song-yan Li
Xiao-hui Du
author_facet Peng-yue Zhao
Zhao-fu Ma
Ya-nan Jiao
Yang Yan
Song-yan Li
Xiao-hui Du
author_sort Peng-yue Zhao
collection DOAJ
description Early gastric cancer (EGC) has a desirable prognosis compared with advanced gastric cancer (AGC). The surgical concept of EGC has altered from simply emphasizing radical resection to both radical resection and functional preservation. As the mainstream surgical methods for EGC, both endoscopic resection and laparoscopic resection have certain inherent limitations, while the advent of laparoscopic and endoscopic cooperative surgery (LECS) has overcome these limitations to a considerable extent. LECS not only expands the surgical indications for endoscopic resection, but greatly improves the quality of life (QOL) in EGC patients. This minireview elaborates on the research status of LECS for EGC, from the conception and development of LECS, to the tentative application of LECS in animal experiments, then to case reports and retrospective clinical studies. Finally, the challenges and prospects of LECS in the field of EGC are prospected and expounded, hoping to provide some references for relevant researchers. With the in-depth understanding of minimally invasive technology, LECS remains a promising option in the management of EGC. Carrying out more related multicenter prospective clinical researches is the top priority of promoting the development of this field in the future.
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spelling doaj.art-4c63e93da32f42ac9b45c0fb268a9dcf2022-12-22T03:30:18ZengFrontiers Media S.A.Frontiers in Oncology2234-943X2022-10-011210.3389/fonc.2022.969628969628Laparoscopic and endoscopic cooperative surgery for early gastric cancer: Perspective for actual practicePeng-yue ZhaoZhao-fu MaYa-nan JiaoYang YanSong-yan LiXiao-hui DuEarly gastric cancer (EGC) has a desirable prognosis compared with advanced gastric cancer (AGC). The surgical concept of EGC has altered from simply emphasizing radical resection to both radical resection and functional preservation. As the mainstream surgical methods for EGC, both endoscopic resection and laparoscopic resection have certain inherent limitations, while the advent of laparoscopic and endoscopic cooperative surgery (LECS) has overcome these limitations to a considerable extent. LECS not only expands the surgical indications for endoscopic resection, but greatly improves the quality of life (QOL) in EGC patients. This minireview elaborates on the research status of LECS for EGC, from the conception and development of LECS, to the tentative application of LECS in animal experiments, then to case reports and retrospective clinical studies. Finally, the challenges and prospects of LECS in the field of EGC are prospected and expounded, hoping to provide some references for relevant researchers. With the in-depth understanding of minimally invasive technology, LECS remains a promising option in the management of EGC. Carrying out more related multicenter prospective clinical researches is the top priority of promoting the development of this field in the future.https://www.frontiersin.org/articles/10.3389/fonc.2022.969628/fullearly gastric cancerlaparoscopic and endoscopic cooperative surgerysentinel nodesendoscopic submucosal dissectionendoscopic resection
spellingShingle Peng-yue Zhao
Zhao-fu Ma
Ya-nan Jiao
Yang Yan
Song-yan Li
Xiao-hui Du
Laparoscopic and endoscopic cooperative surgery for early gastric cancer: Perspective for actual practice
Frontiers in Oncology
early gastric cancer
laparoscopic and endoscopic cooperative surgery
sentinel nodes
endoscopic submucosal dissection
endoscopic resection
title Laparoscopic and endoscopic cooperative surgery for early gastric cancer: Perspective for actual practice
title_full Laparoscopic and endoscopic cooperative surgery for early gastric cancer: Perspective for actual practice
title_fullStr Laparoscopic and endoscopic cooperative surgery for early gastric cancer: Perspective for actual practice
title_full_unstemmed Laparoscopic and endoscopic cooperative surgery for early gastric cancer: Perspective for actual practice
title_short Laparoscopic and endoscopic cooperative surgery for early gastric cancer: Perspective for actual practice
title_sort laparoscopic and endoscopic cooperative surgery for early gastric cancer perspective for actual practice
topic early gastric cancer
laparoscopic and endoscopic cooperative surgery
sentinel nodes
endoscopic submucosal dissection
endoscopic resection
url https://www.frontiersin.org/articles/10.3389/fonc.2022.969628/full
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