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MINIMALLY INVASIVE SURGERY FOR GASTRIC CANCER: TIME TO CHANGE THE PARADIGM

Overview of attention for article published in Arquivos brasileiros de cirurgia digestiva : ABCD = Brazilian archives of digestive surgery, April 2016
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Title
MINIMALLY INVASIVE SURGERY FOR GASTRIC CANCER: TIME TO CHANGE THE PARADIGM
Published in
Arquivos brasileiros de cirurgia digestiva : ABCD = Brazilian archives of digestive surgery, April 2016
DOI 10.1590/0102-6720201600020013
Pubmed ID
Authors

Barchi, Leandro Cardoso, Jacob, Carlos Eduardos, Bresciani, Cláudio José Caldas, Yagi, Osmar Kenji, Mucerino, Donato Roberto, Lopasso, Fábio Pinatel, Mester, Marcelo, Ribeiro-Júnior, Ulysses, Dias, André Roncon, Ramos, Marcus Fernando Kodama Pertille, Cecconello, Ivan, Zilberstein, Bruno, Leandro Cardoso BARCHI, Carlos Eduardos JACOB, Cláudio José Caldas BRESCIANI, Osmar Kenji YAGI, Donato Roberto MUCERINO, Fábio Pinatel LOPASSO, Marcelo MESTER, Ulysses RIBEIRO-JÚNIOR, André Roncon DIAS, Marcus Fernando Kodama Pertille RAMOS, Ivan CECCONELLO, Bruno ZILBERSTEIN

Abstract

Minimally invasive surgery widely used to treat benign disorders of the digestive system, has become the focus of intense study in recent years in the field of surgical oncology. Since then, the experience with this kind of approach has grown, aiming to provide the same oncological outcomes and survival to conventional surgery. Regarding gastric cancer, surgery is still considered the only curative treatment, considering the extent of resection and lymphadenectomy performed. Conventional surgery remains the main modality performed worldwide. Notwithstanding, the role of the minimally invasive access is yet to be clarified. To evaluate and summarize the current status of minimally invasive resection of gastric cancer. A literature review was performed using Medline/PubMed, Cochrane Library and SciELO with the following headings: gastric cancer, minimally invasive surgery, robotic gastrectomy, laparoscopic gastrectomy, stomach cancer. The language used for the research was English. 28 articles were considered, including randomized controlled trials, meta-analyzes, prospective and retrospective cohort studies. Minimally invasive gastrectomy may be considered as a technical option in the treatment of early gastric cancer. As for advanced cancer, recent studies have demonstrated the safety and feasibility of the laparoscopic approach. Robotic gastrectomy will probably improve outcomes obtained with laparoscopy. However, high cost is still a barrier to its use on a large scale. A cirurgia minimamente invasiva amplamente usada para tratar doenças benignas do aparelho digestivo, tornou-se o foco de intenso estudo nos últimos anos no campo da oncologia cirúrgica. Desde então, a experiência com este tipo de abordagem tem crescido, com o objetivo de fornecer os mesmos resultados oncológicos e sobrevivência à cirurgia convencional. Em relação ao câncer gástrico, o tratamento cirúrgico ainda é considerado o único tratamento curativo, considerando a extensão da ressecção e linfadenectomia realizada. A gastrectomia convencional continua a ser a principal modalidade realizada em todo o mundo. Não obstante, o papel do acesso minimamente invasivo tem ainda de ser esclarecido. Avaliar e resumir o estado atual da ressecção minimamente invasiva do câncer gástrico. Foi realizada revisão da literatura utilizando as bases Medline/PubMed, Cochrane Library e SciELO com os seguintes descritores: câncer gástrico, cirurgia minimamente invasiva, gastrectomia robótica, gastrectomia laparoscópica, neoplasia de estômago. A língua usada para a pesquisa foi o inglês. Foram considerados para elaboração desta revisão 28 artigos, entre eles ensaios clínicos randomizados, metanálises, estudos coorte prospectivos e retrospectivos. A gastrectomia minimamente invasiva é opção técnica no tratamento do câncer gástrico precoce. Quanto ao câncer avançado, estudos recentes têm demonstrado a segurança e a viabilidade do acesso videolaparoscópico. A gastrectomia robótica provavelmente melhorará os resultados obtidos com a laparoscopia. Porém, o alto custo ainda é impedimento para sua utilização em larga escala.

Mendeley readers

The data shown below were compiled from readership statistics for 42 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 42 100%

Demographic breakdown

Readers by professional status Count As %
Student > Bachelor 8 19%
Student > Master 5 12%
Professor > Associate Professor 4 10%
Student > Ph. D. Student 4 10%
Student > Doctoral Student 3 7%
Other 7 17%
Unknown 11 26%
Readers by discipline Count As %
Medicine and Dentistry 20 48%
Engineering 3 7%
Nursing and Health Professions 2 5%
Biochemistry, Genetics and Molecular Biology 1 2%
Business, Management and Accounting 1 2%
Other 4 10%
Unknown 11 26%