Minimally invasive gastrectomy after neoadjuvant chemotherapy: a literature review

IF 0.5 4区 医学 Q4 SURGERY
Alberto d’Amore, S. Pascale, F. Ascari, E. Bertani, U. F. Romario
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引用次数: 0

Abstract

Objective: This review was conducted to assess the results of minimally invasive surgery for advanced gastric cancer after preoperative chemotherapy. Background: Localized gastric cancer is treated mainly via surgery. Among recent advances in surgical treatments, minimally invasive gastrectomies have become standard treatment for early gastric cancer and are becoming a safe option for advanced gastric cancers. However, most studies on laparoscopic gastrectomies for locally advanced gastric cancer have been performed in patients undergoing primary surgery. In Western countries, most patients with locally advanced gastric cancer undergo preoperative chemotherapy. However, concerns remain regarding the indications for minimally invasive gastrectomies in patients with locally advanced gastric cancer, treated with preoperative chemotherapy. Methods: We conducted a systematic search of the electronic medical databases to identify all relevant publications on minimally invasive gastrectomy. Eight papers were analyzed. Conclusions: Neoadjuvant chemotherapy does not adversely influence the results of a minimally invasive gastrectomy, and minimally invasive surgery, even after neoadjuvant chemotherapy, may facilitate postoperative chemotherapy in terms of timing and number of completed chemotherapeutic cycles.
新辅助化疗后微创胃切除术:文献回顾
目的:评价晚期胃癌术前化疗后微创手术治疗的效果。背景:局部胃癌主要通过手术治疗。在外科治疗的最新进展中,微创胃切除术已成为早期胃癌的标准治疗方法,并且正在成为晚期胃癌的安全选择。然而,大多数关于腹腔镜胃切除术治疗局部晚期胃癌的研究都是在接受原发性手术的患者中进行的。在西方国家,大多数局部晚期胃癌患者都接受术前化疗。然而,对于局部晚期胃癌患者术前化疗微创胃切除术的适应症,人们仍然存在担忧。方法:我们对电子医学数据库进行了系统的检索,以确定所有关于微创胃切除术的相关出版物。对8篇论文进行了分析。结论:新辅助化疗不会对微创胃切除术的结果产生不良影响,即使在新辅助化疗后进行微创手术,也可能在化疗时间和完成化疗周期次数方面促进术后化疗。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
1.40
自引率
0.00%
发文量
20
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