International Journal of Clinical Case Reports 2024, Vol.14, No.4, 221-229 http://medscipublisher.com/index.php/ijccr 227 7.4 Potential of 3D printing and custom implants in gastric surgery 3D printing is showing great promise in gastric cancer surgery by enabling the creation of patient-specific anatomical models for preoperative planning and the development of custom implants. Surgeons can use 3D-printed models to simulate complex procedures, improving surgical precision and reducing operative times. The technology also holds potential for creating custom gastric or esophageal implants that can replace resected tissue, particularly in complex reconstructions following extensive cancer resections (Jovic et al., 2020). Additionally, bioprinting techniques are being explored to develop tissue scaffolds that could eventually lead to regenerative treatments for damaged gastric tissues. 8 Concluding Remarks Over the past decade, significant advancements in gastric cancer resection techniques have been made, particularly in minimally invasive approaches like laparoscopic and robotic-assisted surgeries. These techniques have shown to improve patient recovery times, reduce postoperative complications, and offer comparable oncologic outcomes to traditional open surgeries. Innovations such as endoscopic submucosal dissection (ESD) have provided alternatives to surgery for early-stage gastric cancer, allowing for effective en bloc resections of lesions without extensive lymphadenectomy. Furthermore, the introduction of robotic systems like the da Vinci platform has enabled greater precision and improved lymph node dissection in advanced cases. The adoption of minimally invasive techniques in clinical practice is transforming the management of gastric cancer. The use of laparoscopic and robotic surgeries, particularly in early-stage cancers, has led to shorter hospital stays and fewer postoperative complications, significantly improving patients' quality of life. These advancements, coupled with multimodal approaches that include neoadjuvant and adjuvant therapies, are contributing to improved survival rates, especially in locally advanced gastric cancers. However, the need for specialized training and the high costs associated with robotic systems present challenges in widespread adoption. Future research should focus on optimizing patient selection criteria for minimally invasive surgeries, particularly in advanced gastric cancer cases. There is a need for large-scale clinical trials to evaluate the long-term oncologic outcomes of robotic-assisted surgeries and to determine the optimal extent of lymphadenectomy in minimally invasive settings. Additionally, the integration of artificial intelligence (AI) in surgical planning and navigation holds significant potential for precision surgery. AI could assist in real-time decision-making, improving surgical accuracy and reducing intraoperative complications. The development of 3D-printed surgical tools and custom implants, tailored to individual patients' anatomy, represents another exciting area of innovation that could further enhance outcomes in gastric cancer surgery. Acknowledgments The publisher sincerely thanks the anonymous peer reviewers for their thorough evaluation of this manuscript. Conflict of Interest Disclosure The author affirms that this research was conducted without any commercial or financial relationships that could be construed as a potential conflict of interest. References Adir O., Poley M., Chen G., Froim S., Krinsky N., Shklover J., Shainsky‐Roitman J., Lammers T., and Schroeder, A., 2019, Integrating artificial intelligence and nanotechnology for precision cancer medicine, Advanced Materials, 32(13): e1901989. https://doi.org/10.1002/adma.201901989 PMID: 31286573 PMCID: PMC7124889 Boniface M.M., Wani S., Schefter T., Koo P., Meguid C., Leong S., Kaplan J., Wingrove L.J., and McCarter M., 2016, Multidisciplinary management for esophageal and gastric cancer, Cancer Management and Research, 8: 39-44. https://doi.org/10.2147/CMAR.S101169 Caruso S., Patriti A., Roviello F., de Franco L., Franceschini F., Coratti A., and Ceccarelli G., 2016, Laparoscopic and robot-assisted gastrectomy for gastric cancer: current considerations, World Journal of Gastroenterology, 22(25): 5694-5717. https://doi.org/10.3748/wjg.v22.i25.5694
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