caa a22 4500 60620685X CHVBK 20210128101013.0 cr unu---uuuuu 210128e20151201xx s 000 0 eng 10.1007/s10353-015-0350-8 doi (NATIONALLICENCE)springer-10.1007/s10353-015-0350-8 Laparoscopic surgery for gastric cancer: a systematic review [Elektronische Daten] [D. Schizas, K. S. Mylonas, K. P. Economopoulos, S. Tasigiorgos, D. Patouras, I. Karavokyros, T. Liakakos] Summary: Background: The objective of this paper is to systematically review current literature on laparoscopic surgery for gastric cancer in terms of current indications and feasibility as well as short-term and long-term postoperative outcomes. Methods: A systematic review was conducted with respect to the preferred reporting items for systematic reviews and meta-analyses (PRISMA) guidelines using PubMed and is up-to-date until January 1, 2014. Results: A total of 99 papers matched the inclusion criteria and comprised of 92 case-control studies and 7 randomized controlled trials (RCTs). The majority of these papers focused on short-term outcomes of laparoscopy-assisted distal gastrectomy (LADG), which are superior compared to open distal gastrectomy (ODG). Lymphadenectomy extent, morbidity, and mortality rates as well as disease-free and overall survival did not differ significantly between LADG and ODG groups. Finally, the implementation of laparoscopic gastrectomy was assessed in advanced gastric carcinoma, obese, and elderly patients. Conclusions: This systematic review revealed that laparoscopic surgery is safe and effective for the treatment of gastric cancer. LADG offers better short-term and similar long-term results to ODG. Well-designed multicenter RCTs are needed to better understand the limitations of oncologic laparoscopic gastrectomy. Springer-Verlag Wien, 2015 Gastric cancer nationallicence Laparoscopy nationallicence Surgery nationallicence Lymph node excision nationallicence Schizas D. Surgery Working Group, Society of Junior Doctors, Athens, Greece aut Mylonas K. S. Surgery Working Group, Society of Junior Doctors, Athens, Greece aut Economopoulos K. P. Surgery Working Group, Society of Junior Doctors, Athens, Greece aut Tasigiorgos S. Surgery Working Group, Society of Junior Doctors, Athens, Greece aut Patouras D. Surgery Working Group, Society of Junior Doctors, Athens, Greece aut Karavokyros I. First Department of Surgery, University of Athens, Athens, Greece aut Liakakos T. First Department of Surgery, University of Athens, Athens, Greece aut European Surgery Springer Vienna 47/6(2015-12-01), 286-302 1682-8631 47:6<286 2015 47 10353 https://doi.org/10.1007/s10353-015-0350-8 text/html Onlinezugriff via DOI BK010053 XK010053 XK010000 Metadata rights reserved Springer special CC-BY-NC licence nationallicence 1 review-article jats NATIONALLICENCE NATIONALLICENCE NL-springer NATIONALLICENCE 856 40 https://doi.org/10.1007/s10353-015-0350-8 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Schizas D. Surgery Working Group, Society of Junior Doctors, Athens, Greece aut NATIONALLICENCE 700 1- Mylonas K. S. Surgery Working Group, Society of Junior Doctors, Athens, Greece aut NATIONALLICENCE 700 1- Economopoulos K. P. Surgery Working Group, Society of Junior Doctors, Athens, Greece aut NATIONALLICENCE 700 1- Tasigiorgos S. Surgery Working Group, Society of Junior Doctors, Athens, Greece aut NATIONALLICENCE 700 1- Patouras D. Surgery Working Group, Society of Junior Doctors, Athens, Greece aut NATIONALLICENCE 700 1- Karavokyros I. First Department of Surgery, University of Athens, Athens, Greece aut NATIONALLICENCE 700 1- Liakakos T. First Department of Surgery, University of Athens, Athens, Greece aut NATIONALLICENCE 773 0- European Surgery Springer Vienna 47/6(2015-12-01), 286-302 1682-8631 47:6<286 2015 47 10353