腹腔鏡下手術：最近の動向

―胃病変に対する腹腔鏡下手術―

抄録

Laparoscopic surgery has been widely performed for various diseases around the world, ever since the first successful laparoscopic cholecystectomy in 1987. Initially, laparoscopic surgery was only indicated for benign disease; however, its application has now been expanded to malignancies, such as colon, esophageal and gastric cancer. In particular, laparoscopic surgery for gastric cancer is flourishing in Japan. Laparoscopic partial gastrectomy for gastric cancer was first reported in 1993 and laparoscopy-assisted distal gastrectomy with lymph node dissection was reported in 1994. However, this approach took some years to become popular even among the laparoscopic surgeons. We began using laparoscopy-assisted distal gastrectomy for gastric cancer in 1996 and have performed more than 200 cases by now. In this manuscript, we report our standardized procedure and the outcomes of laparoscopic gastrectomy with hand-assisted laparoscopic surgery (HALS).