International Journal of Clinical Case Reports 2024, Vol.14, No.4, 221-229 http://medscipublisher.com/index.php/ijccr 221 Review and Progress Open Access Advancements in Gastric Cancer Resection Techniques: Current Status and Future Directions MingZhang The First Affiliated Hospital, Zhejian Guniversity School of Medncine, Hangzhou, 310009, Zhejiang, China Corresponding email: zhangming@foxmail.com International Journal of Clinical Case Reports 2024, Vol.14, No.4 doi: 10.5376/ijccr.2024.14.0023 Received: 20 Jun., 2024 Accepted: 30 Jul., 2024 Published: 25 Aug., 2024 Copyright © 2024 Zhang, This is an open access article published under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Preferred citation for this article: Zhang M., 2024, Advancements in gastric cancer resection techniques: current status and future directions, International Journal of Clinical Case Reports, 14(4): 221-229 (doi: 10.5376/ijccr.2024.14.0023) Abstract Gastric cancer remains a significant global health issue, and surgical resection continues to be the cornerstone of treatment, especially for early-stage disease. Recent advancements in minimally invasive surgical techniques, such as laparoscopic and robotic-assisted gastrectomy, have transformed the surgical landscape by offering reduced morbidity and faster recovery times while maintaining oncological safety. Endoscopic techniques like Endoscopic Submucosal Dissection (ESD) have further improved the management of early gastric cancer, allowing for precise, minimally invasive tumor resections. Despite these advances, there are ongoing challenges, particularly in the management of advanced gastric cancer, where the extent of lymphadenectomy and the role of minimally invasive techniques remain areas of active research. The future of gastric cancer surgery will likely involve greater integration of technological innovations such as artificial intelligence, next-generation robotic systems, and the use of 3D printing to personalize treatment. This paper highlights the current status of these advancements and explores future directions for improving clinical outcomes and quality of life in gastric cancer patients. Keywords Gastric cancer surgery; Laparoscopic gastrectomy; Robotic-assisted surgery; Endoscopic submucosal dissection (ESD); Minimally invasive surgery 1 Introduction Gastric cancer remains a major health issue globally, particularly in Asia, where the incidence remains high despite global decreases. Surgery is the primary curative option, especially when the disease is detected at an early stage. Minimally invasive surgical techniques, including laparoscopic and robotic-assisted surgeries, have significantly improved patient outcomes by reducing recovery times and surgical complications. These innovations, along with advanced diagnostic technologies such as endoscopic ultrasonography, have contributed to the more effective treatment of early-stage gastric cancer (Chen et al., 2021). Additionally, endoscopic techniques like mucosal resection have become valuable tools for treating early cancers (Koeda et al., 2011). Surgical resection is the cornerstone of gastric cancer treatment, particularly in early-stage cases where a complete tumor removal (R0 resection) is the goal. The success of this approach largely depends on performing an adequate lymphadenectomy, which improves survival rates. Minimally invasive surgeries have demonstrated equivalent oncological outcomes compared to traditional open surgeries and offer additional benefits such as quicker recovery and fewer complications. In advanced stages, surgery alone is often insufficient, and multimodal treatments involving perioperative chemotherapy are crucial to improving patient outcomes (Newton et al., 2015). This report provides a comprehensive review of advancements in gastric cancer resection techniques, with a focus on the integration of minimally invasive surgery in current clinical practice. It also highlights the importance of perioperative treatment in cases of advanced gastric cancer. The report offers insights into the latest developments in the field of gastric cancer surgery, emphasizing how precision medicine improves patient survival rates and quality of life.
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