The aim of this paper was to describe the technique of laparoscopic gastrectomy for gastric carcinoma and to present a review of current international studies on this topic.The first part describes and documents a standard laparoscopic gastrectomy for carcinoma. In the second part, after an EMBASE and PubMed search, a total of 123 quality-relevant randomised (RCT) and non-randomised (non-RCT) studies on laparoscopic gastrectomy are identified from a primary total of 3,042 hits by systematic narrowing.
View Article and Find Full Text PDFBackground: The aim of this study was to systematically review the current evidence on laparoscopic and robotic distal and total gastrectomy in comparison to open surgery.
Material And Methods: A systematic search of EMBASE and PubMed was conducted and 197 randomized (RCT) and non-randomized (non-RCT) studies were identified. An evaluation of early gastric cancer (EGC) and advanced (AGC) gastric cancer was carried out.
Background: Laparoscopic gastrectomy has been established for treatment of early gastric cancer (EGC) especially in Eastern Asian countries. Currently, it still needs evaluation for advanced gastric cancer (AGC, T ≥ 2). Difficulty is how far Asian study data are valid for western conditions.
View Article and Find Full Text PDFBackground: New techniques using vascular clips or ultrasonically activated shears have been suggested to shorten operation time without compromising safety. The objective of the CLIVIT Trial was to compare ligatures with vascular clips for hemostasis in elective benign thyroid surgery.
Methods: This multicenter, randomized, controlled, parallel group superiority trial was conducted in 13 German surgical centers.
Die Zahl der notwendigen Magenbypass-Operationen (RYGB) steigt aufgrund der Adipositasepidemie jÄhrlich an. Dabei wird ein Erfolg dieser Behandlung nur garantiert, wenn im Nachsorgeprogramm eine entsprechende Bewegungstherapie, eine verfahrensadaptierte ErnÄhrungsumstellung und eine ausreichende Supplementation greifen. In AbhÄngigkeit von muskuloskelettalen Vorerkrankungen sollte eine Bewegungstherapie circa 4 Wochen postoperativ beginnen und aus einem abwechselnd kardiovaskulÄren und bindegewebsrestitutiven Training bestehen.
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