International Session(Symposium)3
10月29日 14:30~17:00 第4会場
公募・一部指定
IS-S3 進行胃癌に対する鏡視下手術の手技とエビデンス (Current evidence and technical challenges for laparoscopic surgery for far advanced gastric cancer) |
||
司会 | 瀧口修司 (Shuji Takiguchi) |
名古屋市立大大学院・消化器外科学 (Department of Gastroenterological Surgery, Nagoya City University ) |
比企直樹 (Naoki Hiki) |
北里大・上部消化管外科 (Department of Upper Gastrointestinal Surgery, Kitasato University School of Medicine) |
In the era of early gastric cancer, laparoscopic gastrectomy (LG) had spread in Japan recently, not only high but small volume center. LG for advanced gastric cancer was still controversial because of unclear longtime survival. Some randomized clinical trials will answer this question, so, next important clinical question is validity of laparoscopic surgery for far advanced or complicated gastric cancer such as multiple or bulky lymph node cases, direct invasion to adjacent organ, bulky tumor, EGJ cancer. Discussion points will be technical challenges and long and short time results. Technical aspects will include laparoscopic or robotics, energy devise choice, tumor handling technique, approach style. Knocks and pit fall from experienced specialists with many cases would be helpful for next generation. Now, the time for discussing this core question had come.