Minimally invasive surgery for gastric cancer in Brazil: current status and perspectives-a report from the Brazilian Laparoscopic Oncologic Gastrectomy Group (BLOGG)

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dc.contributorSistema FMUSP-HC: Faculdade de Medicina da Universidade de São Paulo (FMUSP) e Hospital das Clínicas da FMUSP
dc.contributor.authorKASSAB, Paulo
dc.contributor.authorCOSTA JR., Wilson Luiz da
dc.contributor.authorJACOB, Carlos Eduardo
dc.contributor.authorCORDTS, Roberto de Moraes
dc.contributor.authorCASTRO, Osvaldo Antonio Prado
dc.contributor.authorBARCHI, Leandro Cardoso
dc.contributor.authorCECCONELLO, Ivan
dc.contributor.authorCHARRUF, Amir Zeide
dc.contributor.authorCOIMBRA, Felipe Jose Fernandez
dc.contributor.authorCURY, Antonio Moris
dc.contributor.authorDINIZ, Alessandro Landskron
dc.contributor.authorFARIAS, Igor Correia de
dc.contributor.authorFREITAS JR., Wilson Rodrigues de
dc.contributor.authorGODOY, Andre Luis de
dc.contributor.authorILIAS, Elias Jirjoss
dc.contributor.authorMALHEIROS, Carlos Alberto
dc.contributor.authorRAMOS, Marcus Fernando Kodama Pertille
dc.contributor.authorRIBEIRO, Heber Salvador de Castro
dc.contributor.authorDIAS, Andre Roncon
dc.contributor.authorTHULER, Fabio Rodrigues
dc.contributor.authorYAGI, Osmar Kenji
dc.contributor.authorLOURENCO, Laercio Gomes
dc.contributor.authorZILBERSTEIN, Bruno
dc.contributor.groupauthorBrazilian Gastric Canc Assoc
dc.date.accessioned2017-12-12T13:16:46Z
dc.date.available2017-12-12T13:16:46Z
dc.date.issued2017
dc.description.abstractThe minimally invasive surgery for gastric cancer in Brazil has begun about two years after the first laparoscopic gastrectomy (LG) performed by Kitano in Japan, in 1991. Although the report of first surgeries shows the year of 1993, there was no dissemination of the technique until the years 2010. At that time with the improvement of optical devices, laparoscopic instruments and with the publications coming from Asia, several Brazilian surgeons felt encouraged to go to Korea and Japan to learn the standardization of the LG. After that there was a significant increase in that type of surgery, especially after the IRCAD opened a branch in Brazil. The growing interest for the subject led some services to begin their own experience with the LG and, since the beginning, the results were similar with those found in the open surgery. Nevertheless, there were some differences with the papers published initially in Japan and Korea. In those countries, the surgeries were laparoscopic assisted, meaning that, in the majority of cases, the anastomoses were done through a mini-incision in the end of the procedure. In Brazil since the beginning it was performed completely through laparoscopic approach due to the skills acquired by Brazilian surgeons in bariatric surgeries. Another difference was the stage. While in the east the majority of cases were done in T1 patients, in Brazil, probably due to the lack of early cases, the surgeries were done also in advanced cases. The initial experience of Zilberstein et al. revealed low rates of morbidity without mortality. Comparing laparoscopic and open surgery, the group from Barretos/IRCAD showed shorter surgical time (216x255 minutes), earlier oral or enteral feeding and earlier hospital discharge, with a smaller number of harvested lymph nodes (28 in laparoscopic against 33 in open surgery). There was no significant difference regarding morbidity, mortality and reoperation rate. In the first efforts to publish a multicentric study the Brazilian Gastric Cancer Association (BGCA) collected data from three institutions analyzing 148 patients operated from 2006 to 2016. There were 98 subtotal, 48 total and 2 proximal gastrectomies. The anastomoses were totally laparoscopic in 105, laparoscopic assisted in 21, cervical in 2, and 20 open (after conversion). The reconstruction methods were: 142 Roux-en-Y, two Billroth I, and three other types. The conversion rate was 13.5% (20/148). The D2 dissection was performed in 139 patients. The mean number of harvested lymph nodes was 34.4. If we take only the D2 cases the mean number was 39.5. The morbidity rate was 22.3%. The mortality was 2.7%. The stages were: IA-59, IB-14, IIA-11, IIB-15, IIIA-9, IIIB-19, IIIC-11 and stage IV-three cases. Four patients died from the disease and 10 are alive with disease. The participating services have already begun the robotic gastrectomy with satisfactory results. The intention of this group is to begin now a prospective multicentric study to confirm the data already obtained with the retrospective studies.
dc.description.indexPubMed
dc.identifier.citationTRANSLATIONAL GASTROENTEROLOGY AND HEPATOLOGY, v.2, article ID 45, 6p, 2017
dc.identifier.doi10.21037/tgh.2017.03.17
dc.identifier.eissn2415-1289
dc.identifier.issn2224-476X
dc.identifier.urihttps://observatorio.fm.usp.br/handle/OPI/24269
dc.language.isoeng
dc.publisherAME PUBL CO
dc.relation.ispartofTranslational Gastroenterology and Hepatology
dc.rightsrestrictedAccess
dc.rights.holderCopyright AME PUBL CO
dc.subjectCancer
dc.subjectlaparoscopy
dc.subjectminimally invasive
dc.subjectstomach
dc.subjectsurgery
dc.subject.wosGastroenterology & Hepatology
dc.titleMinimally invasive surgery for gastric cancer in Brazil: current status and perspectives-a report from the Brazilian Laparoscopic Oncologic Gastrectomy Group (BLOGG)
dc.typearticle
dc.type.categoryreview
dc.type.versionpublishedVersion
dspace.entity.typePublication
hcfmusp.author.externalKASSAB, Paulo:Santa Casa Sao Paulo Med Sch, Sao Paulo, Brazil; Digest Surg Oncol Div BP, Sao Paulo, SP, Brazil
hcfmusp.author.externalCOSTA JR., Wilson Luiz da:AC Camargo Canc Ctr, Sao Paulo, Brazil
hcfmusp.author.externalCORDTS, Roberto de Moraes:Santa Casa Sao Paulo Med Sch, Sao Paulo, Brazil; Digest Surg Oncol Div BP, Sao Paulo, SP, Brazil
hcfmusp.author.externalCASTRO, Osvaldo Antonio Prado:Santa Casa Sao Paulo Med Sch, Sao Paulo, Brazil; Digest Surg Oncol Div BP, Sao Paulo, SP, Brazil
hcfmusp.author.externalCOIMBRA, Felipe Jose Fernandez:AC Camargo Canc Ctr, Sao Paulo, Brazil
hcfmusp.author.externalCURY, Antonio Moris:AC Camargo Canc Ctr, Sao Paulo, Brazil
hcfmusp.author.externalDINIZ, Alessandro Landskron:AC Camargo Canc Ctr, Sao Paulo, Brazil
hcfmusp.author.externalFARIAS, Igor Correia de:AC Camargo Canc Ctr, Sao Paulo, Brazil
hcfmusp.author.externalFREITAS JR., Wilson Rodrigues de:Santa Casa Sao Paulo Med Sch, Sao Paulo, Brazil
hcfmusp.author.externalGODOY, Andre Luis de:AC Camargo Canc Ctr, Sao Paulo, Brazil
hcfmusp.author.externalILIAS, Elias Jirjoss:Santa Casa Sao Paulo Med Sch, Sao Paulo, Brazil; Digest Surg Oncol Div BP, Sao Paulo, SP, Brazil
hcfmusp.author.externalMALHEIROS, Carlos Alberto:Santa Casa Sao Paulo Med Sch, Sao Paulo, Brazil; Digest Surg Oncol Div BP, Sao Paulo, SP, Brazil
hcfmusp.author.externalRIBEIRO, Heber Salvador de Castro:AC Camargo Canc Ctr, Sao Paulo, Brazil
hcfmusp.author.externalTHULER, Fabio Rodrigues:Santa Casa Sao Paulo Med Sch, Sao Paulo, Brazil
hcfmusp.author.externalLOURENCO, Laercio Gomes:Sao Paulo Fed Univ, Paulista Med Sch UNIFESP EPM, Sao Paulo, Brazil
hcfmusp.citation.scopus5
hcfmusp.contributor.author-fmusphcCARLOS EDUARDO JACOB
hcfmusp.contributor.author-fmusphcLEANDRO CARDOSO BARCHI
hcfmusp.contributor.author-fmusphcIVAN CECCONELLO
hcfmusp.contributor.author-fmusphcAMIR ZEIDE CHARRUF
hcfmusp.contributor.author-fmusphcMARCUS FERNANDO KODAMA PERTILLE RAMOS
hcfmusp.contributor.author-fmusphcANDRE RONCON DIAS
hcfmusp.contributor.author-fmusphcOSMAR KENJI YAGI
hcfmusp.contributor.author-fmusphcBRUNO ZILBERSTEIN
hcfmusp.description.articlenumber45
hcfmusp.description.volume2
hcfmusp.origemWOS
hcfmusp.origem.pubmed28616601
hcfmusp.origem.scopus2-s2.0-85019416497
hcfmusp.origem.wosWOS:000406054600007
hcfmusp.publisher.citySHEUNG WAN
hcfmusp.publisher.countryPEOPLES R CHINA
hcfmusp.relation.referenceRamagem CAG, 2015, ABCD-ARQ BRAS CIR DI, V28, P65, DOI 10.1590/S0102-67202015000100017
hcfmusp.relation.referenceKITANO S, 1994, SURG LAPAROSC ENDOSC, V4, P146
hcfmusp.relation.referenceLacerda CF, 2014, ABCD-ARQ BRAS CIR DI, V27, P71, DOI 10.1590/S0102-67202014000100017
hcfmusp.relation.referenceTinoco RC, 2005, ATUALIZACAO CANC GAS, P243
hcfmusp.relation.referenceTinoco RC, 2009, SURG LAPARO ENDO PER, V19, P384, DOI 10.1097/SLE.0b013e3181ba4701
hcfmusp.relation.referenceZilberstein B, 2014, ABCD-ARQ BRAS CIR DI, V27, P133, DOI 10.1590/S0102-67202014000200010
hcfmusp.relation.referenceZilberstein B, 2013, ABCD-ARQ BRAS CIR DI, V26, P2, DOI 10.1590/S0102-67202013000100002
hcfmusp.scopus.lastupdate2024-05-17
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