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