Laparoscopic vs Open Distal Gastrectomy for Locally Advanced Gastric Cancer

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Abstract
Gastric cancer is the fifth most common malignant neoplasm and the third leading cause of cancer-related death, causing an estimated 783 000 deaths worldwide in 2018, based on GLOBOCAN 2018 data.1 Patients without metastases are treated with surgery. There are 2 surgical options for patients with potentially curable gastric cancer. Kitano et al2 first reported treatment of early-stage distal gastric cancer with laparoscopic-assisted gastrectomy in 1991. After this report, the procedure rapidly achieved popularity in Eastern countries3,4 especially for treatment of early gastric cancer (T1, any N, and M0).

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