alexa Recent Advances in Endoscopic and Laparoscopic Manageme
ISSN: 2161-069X

Journal of Gastrointestinal & Digestive System
Open Access

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Review Article

Recent Advances in Endoscopic and Laparoscopic Management of Gastric Malignancy: A Literature Review

Hiroshi Kawahira1*, Hideki Hayashi1, Takehide Asano2, Mikito Mori3, Daisuke Horibe3, Hisashi Gunji3, Naoyuki Hanari3 and Hisahiro Matsubara3

1Research Center for Frontier Medical Engineering, Chiba University, 1-33 Yayoi-cho, Inage-ku, Chiba 263-8522, Japan

2Department of Surgery, Chiba-Higashi National Hospital, 673 Nitona-cho, Chuo-ku, Chiba 260-8712, Japan

3Frontier Surgery, Chiba University Graduate School of Medicine, 1-8-1 Inohana, Chuo-ku, Chiba 260-8670, Japan

Corresponding Author:
Hiroshi Kawahira, MD, PhD
Research Center for Frontier Medical Engineering
Department of Frontier Surgery
Chiba University Graduate School of Medicine 1-8-1 Inohana
Chuo-ku, Chiba 260-8677, Japan
Tel: +81-43-226-2110
Fax: +81-43-266-2113
E-mail: [email protected]

Received Date: May 14, 2013; Accepted Date: July 01, 2013; Published Date: July 03, 2013

Citation: Kawahira H, Hayashi H, Asano T, Mori M, Horibe D, et al. (2013) Recent Advances in Endoscopic and Laparoscopic Management of Gastric Malignancy: A Literature Review. J Gastroint Dig Syst S1:004. doi: 10.4172/2161-069x.S1-004

Copyright: © 2013 Kawahira H, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.



The current gold standard treatment for early gastric cancer (EGC) is en bloc resection with D2 lymph node dissection because GC tends to spread to the lymph nodes at an early stage. Endoscopic submucosal dissection (ESD) and laparoscopic gastrectomy may be considered as treatment options for EGC, depending on oncological stage. ESD provide local treatment only. Sentinel node (SN) mapping can indicate which nodes will be the first to be affected. Local resection of the primary lesion with SN biopsy would therefore be an ideal treatment for EGC. ESD followed by SN biopsy involve full-thickness resection of the gastric wall, and it is expected that they will be more commonly used for the treatment of appropriate stages of EGC in the near future.

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