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Staging laparoscopy US study: 11759 patients with gastric cancer 1998-2005 In hospital mortality Staging laparoscopy alone: 5.3% Futile laparotomy: 13.1%

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Presentation on theme: "Staging laparoscopy US study: 11759 patients with gastric cancer 1998-2005 In hospital mortality Staging laparoscopy alone: 5.3% Futile laparotomy: 13.1%"— Presentation transcript:

1 Staging laparoscopy US study: 11759 patients with gastric cancer 1998-2005 In hospital mortality Staging laparoscopy alone: 5.3% Futile laparotomy: 13.1% Karanicolas, JACS 2011

2 Laparoscopy-assisted gastrectomy in Japan Others Total Gastrectomy Proximal Gastrectomy Distal Gastrectomy (D2 ） Distal Gastrectomy (D1+  ） Distal Gastrectomy (D1+  ) Distal Gastrectomy (D1) Local Resection Intragastric Operation Ken-ichi Mafune

3 Gastric cancer resections in 2011 EMR/ESD 533918.6% Laparoscopic Surgery 743125.9% Open Surgery1590655.5% total28676100% Japanese Society for Endoscopic Surgery Ken-ichi Mafune

4 Future: Increasing use of staging laparoscopy? NO Advice: to perform laparoscopic gastrectomy

5 Cornelis van de Velde, Professor of Surgery http://www.canceraudit.eu Thank you for your attention Department of Surgery Leiden University Medical Center The Netherlands

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