Present situation of minimally invasive surgical treatment for early gastric cancer.

World J Gastrointest Oncol

The First Clinical Medical School, Lanzhou University, Lanzhou 730000, Gansu Province, China.

Published: April 2024

AI Article Synopsis

  • Minimally invasive surgery uses advanced tools to treat issues in the body with smaller incisions, achieving similar outcomes to traditional surgery while reducing trauma and recovery time.
  • It is particularly beneficial for gastric cancer patients, offering options like endoscopic mucosal resection and laparoscopic techniques, which minimize blood loss and psychological stress.
  • Innovations in these techniques, such as band-assisted EMR and closed LECS, enhance precision and effectiveness for various stages of early gastric cancer treatment.

Article Abstract

Minimally invasive surgery is a kind of surgical operation, which is performed by using professional surgical instruments and equipment to inactivate, resect, repair or reconstruct the pathological changes, deformities and wounds in human body through micro-trauma or micro-approach, in order to achieve the goal of treatment, its surgical effect is equivalent to the traditional open surgery, while avoiding the morbidity of conventional surgical wounds. In addition, it also has the advantages of less trauma, less blood loss during operation, less psychological burden and quick recovery on patients, and these minimally invasive techniques provide unique value for the examination and treatment of gastric cancer patients. Surgical minimally invasive surgical techniques have developed rapidly and offer numerous options for the treatment of early gastric cancer (EGC): endoscopic mucosal resection (EMR), underwater EMR (UEMR), endoscopic submucosal dissection (ESD), endoscopic full-thickness resection (EFTR), endoscopic submucosal excavation (ESE), submucosal tunnel endoscopic resection), laparoscopic and endoscopic cooperative surgery (LECS); Among them, EMR, EFTR and LECS technologies have a wide range of applications and different modifications have been derived from their respective surgical operations, such as band-assisted EMR (BA-EMR), conventional EMR (CEMR), over-the-scope clip-assisted EFTR, no-touch EFTR, the inverted LECS, closed LECS, and so on. These new and improved minimally invasive surgeries are more precise, specific and effective in treating different types of EGC.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11037069PMC
http://dx.doi.org/10.4251/wjgo.v16.i4.1154DOI Listing

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