Minimally Invasive Distal Gastrectomy: Evolving Surgical Techniques

Krist Aploks; Keerthi Vengatesan; Xiang Da Eric Dong

doi:10.1016/j.suc.2024.06.004

Minimally Invasive Distal Gastrectomy: Evolving Surgical Techniques

Surg Clin North Am. 2025 Feb;105(1):31-46. doi: 10.1016/j.suc.2024.06.004. Epub 2024 Sep 20.

Authors

Krist Aploks¹, Keerthi Vengatesan¹, Xiang Da Eric Dong²

Affiliations

¹ Division of Surgical Oncology, Department of Surgery, Danbury Hospital, Nuvance Health, 95 Locust Avenue, Danbury, CT 06810, USA; Department of Surgery, University of Vermont, Burlington, VT, USA.
² Division of Surgical Oncology, Department of Surgery, Danbury Hospital, Nuvance Health, 95 Locust Avenue, Danbury, CT 06810, USA; Department of Surgery, University of Vermont, Burlington, VT, USA. Electronic address: eric.dong@nuvancehealth.org.

PMID: 39523074
DOI: 10.1016/j.suc.2024.06.004

Abstract

Surgical management of gastric cancer has evolved over the years. Incorporation of minimally invasive techniques has led to shorter hospital stays, reduced wound complications, and earlier return to functional activity. Nevertheless, the development of minimally invasive total gastrectomy as a repertoire in the management of proximal or diffuse gastric cancer requires significant commitment and support owing to the complexity of the procedure. Here the authors describe the evolution of total gastrectomy with particular focus on laparoscopic and robotic approaches. In addition, they outline the data comparing minimally invasive total gastrectomy with traditional open surgical approaches.

Keywords: D2 lymphadenectomy; Gastric cancer; Laparoscopic total gastrectomy; Robotic total gastrectomy; Total gastrectomy.

Publication types

Review

MeSH terms

Gastrectomy* / methods
Humans
Laparoscopy* / methods
Minimally Invasive Surgical Procedures* / methods
Robotic Surgical Procedures* / methods
Stomach Neoplasms* / surgery