Initial Experience of Minimally Invasive Gastrectomy for Gastric Cancer in Vilnius University Hospital Santaros Klinikos and National Cancer Institute: Clinical Case Series and Literature Review
Background. Gastric cancer remains one of the most common cancers in Lithuania and Worldwide. Surgical treatment is the only potentially curative treatment option for it. Historically open gastrectomy was considered as the gold standard approach. Although, the development of minimally invasive surge...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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Vilnius University Press
2021-05-01
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| Series: | Lietuvos Chirurgija |
| Subjects: | |
| Online Access: | https://www.journals.vu.lt/lietuvos-chirurgija/article/view/23996 |
| _version_ | 1819046503389331456 |
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| author | Martynas Lukšta Gustas Sasnauskas Augustinas Baušys Andrius Rybakovas Justas Kuliavas Rimantas Baušys Kęstutis Strupas |
| author_facet | Martynas Lukšta Gustas Sasnauskas Augustinas Baušys Andrius Rybakovas Justas Kuliavas Rimantas Baušys Kęstutis Strupas |
| author_sort | Martynas Lukšta |
| collection | DOAJ |
| description | Background. Gastric cancer remains one of the most common cancers in Lithuania and Worldwide. Surgical treatment is the only potentially curative treatment option for it. Historically open gastrectomy was considered as the gold standard approach. Although, the development of minimally invasive surgery and accumulation of the clinical data has led to the adoption of minimally invasive gastrectomy.
Clinical cases. We present a series of 8 clinical cases who underwent minimally invasive surgery for early or locally advanced gastric cancer in Vilnius University Hospital Santaros Klinikos and the National Cancer Institute.
Discussion. Large scale randomized controlled trials in Asia have proved that laparoscopic surgery is safe and oncologically effective for clinical stage I distal gastric cancer. The increasing amount of data supports the safety of minimally invasive gastrectomy for advanced or proximal gastric cancer. Most of the trials performed in Asia confirmed, that laparoscopic gastrectomy has some advantages, including: decreased blood loss, decreased postoperative pain, and morbidity. Recent randomized controlled trials of Western countries proved the safety of laparoscopic gastrectomy and the comparable 1-year long-term outcomes. Although, they failed to show improved recovery after minimally invasive surgery. Currently, there is sufficient evidence to adopt minimally invasive gastrectomy for gastric cancer into routine clinical practice in Lithuania.
Conclusions. The first experience of minimally invasive gastric cancer surgery in Vilnius University Hospital Santaros Klinikos and the National Cancer Institute was successful. All gastrectomies were radical, and without major postoperative complications. |
| first_indexed | 2024-12-21T10:45:30Z |
| format | Article |
| id | doaj.art-650d45b882904bddb4648528278ffa4f |
| institution | Directory Open Access Journal |
| issn | 1392-0995 1648-9942 |
| language | English |
| last_indexed | 2024-12-21T10:45:30Z |
| publishDate | 2021-05-01 |
| publisher | Vilnius University Press |
| record_format | Article |
| series | Lietuvos Chirurgija |
| spelling | doaj.art-650d45b882904bddb4648528278ffa4f2022-12-21T19:06:49ZengVilnius University PressLietuvos Chirurgija1392-09951648-99422021-05-0120210.15388/LietChirur.2021.20.43Initial Experience of Minimally Invasive Gastrectomy for Gastric Cancer in Vilnius University Hospital Santaros Klinikos and National Cancer Institute: Clinical Case Series and Literature ReviewMartynas Lukšta0Gustas Sasnauskas1Augustinas Baušys2Andrius Rybakovas3Justas Kuliavas4Rimantas Baušys5Kęstutis Strupas6Vilnius University, LithuaniaVilnius University, LithuaniaVilnius University, LithuaniaVilnius University, LithuaniaVilnius University, LithuaniaVilnius University, LithuaniaVilnius University, LithuaniaBackground. Gastric cancer remains one of the most common cancers in Lithuania and Worldwide. Surgical treatment is the only potentially curative treatment option for it. Historically open gastrectomy was considered as the gold standard approach. Although, the development of minimally invasive surgery and accumulation of the clinical data has led to the adoption of minimally invasive gastrectomy. Clinical cases. We present a series of 8 clinical cases who underwent minimally invasive surgery for early or locally advanced gastric cancer in Vilnius University Hospital Santaros Klinikos and the National Cancer Institute. Discussion. Large scale randomized controlled trials in Asia have proved that laparoscopic surgery is safe and oncologically effective for clinical stage I distal gastric cancer. The increasing amount of data supports the safety of minimally invasive gastrectomy for advanced or proximal gastric cancer. Most of the trials performed in Asia confirmed, that laparoscopic gastrectomy has some advantages, including: decreased blood loss, decreased postoperative pain, and morbidity. Recent randomized controlled trials of Western countries proved the safety of laparoscopic gastrectomy and the comparable 1-year long-term outcomes. Although, they failed to show improved recovery after minimally invasive surgery. Currently, there is sufficient evidence to adopt minimally invasive gastrectomy for gastric cancer into routine clinical practice in Lithuania. Conclusions. The first experience of minimally invasive gastric cancer surgery in Vilnius University Hospital Santaros Klinikos and the National Cancer Institute was successful. All gastrectomies were radical, and without major postoperative complications.https://www.journals.vu.lt/lietuvos-chirurgija/article/view/23996gastric cancerminimally invasive surgeryliterature review |
| spellingShingle | Martynas Lukšta Gustas Sasnauskas Augustinas Baušys Andrius Rybakovas Justas Kuliavas Rimantas Baušys Kęstutis Strupas Initial Experience of Minimally Invasive Gastrectomy for Gastric Cancer in Vilnius University Hospital Santaros Klinikos and National Cancer Institute: Clinical Case Series and Literature Review Lietuvos Chirurgija gastric cancer minimally invasive surgery literature review |
| title | Initial Experience of Minimally Invasive Gastrectomy for Gastric Cancer in Vilnius University Hospital Santaros Klinikos and National Cancer Institute: Clinical Case Series and Literature Review |
| title_full | Initial Experience of Minimally Invasive Gastrectomy for Gastric Cancer in Vilnius University Hospital Santaros Klinikos and National Cancer Institute: Clinical Case Series and Literature Review |
| title_fullStr | Initial Experience of Minimally Invasive Gastrectomy for Gastric Cancer in Vilnius University Hospital Santaros Klinikos and National Cancer Institute: Clinical Case Series and Literature Review |
| title_full_unstemmed | Initial Experience of Minimally Invasive Gastrectomy for Gastric Cancer in Vilnius University Hospital Santaros Klinikos and National Cancer Institute: Clinical Case Series and Literature Review |
| title_short | Initial Experience of Minimally Invasive Gastrectomy for Gastric Cancer in Vilnius University Hospital Santaros Klinikos and National Cancer Institute: Clinical Case Series and Literature Review |
| title_sort | initial experience of minimally invasive gastrectomy for gastric cancer in vilnius university hospital santaros klinikos and national cancer institute clinical case series and literature review |
| topic | gastric cancer minimally invasive surgery literature review |
| url | https://www.journals.vu.lt/lietuvos-chirurgija/article/view/23996 |
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