@article{TGC1869,
author = {Keun Won Ryu and SENORITA (Sentinel Node Oriented Tailored Approach) Study Group},
title = {Future perspective of laparoscopic surgery for gastric cancer: sentinel node navigation function-preserving surgery for early gastric cancer},
journal = {Translational Gastrointestinal Cancer},
volume = {2},
number = {3},
year = {2013},
keywords = {},
abstract = {After the introduction of laparoscopic surgery in gastric cancer, the short-term surgical outcome is improved regarding the quality of life (QOL) with the equivalent morbidity comparing to the conventional open surgery. However, there is controversy concerning the long-term improvement of QOL after laparoscopic gastric cancer surgery. This might be due to the same resection range of stomach and lymph node dissection between laparoscopic surgery and open surgery. To improve the long-term QOL without impairing recurrence and survival in gastric cancer surgery, stomach preserving surgery with minimal lymph node dissection through the laparoscopic approach should be considered without residual tumor in the stomach and surrounding lymph nodes. The sentinel node biopsy (SNB) concept can be adopted for this purpose. The SNB results in terms of sensitivity from individual institutions are unsatisfactory and heterogeneous among practicing surgeons. However, recently performed multicenter study from Japan offers the optimism of SNB in gastric cancer. Currently, SENORITA (Sentinel Node Oriented Tailored Approach) study group in Korea is preparing the phase III trial for stomach preserving surgery with SNB. Before the phase III trial, quality-control study of participating institutions is underway for the standardization and overcoming the learning curve of SNB. If the SNB and stomach preserving surgery can be verified by this phase III trial, it might be a good surgical option instead of standard gastrectomy and lymphadenectomy resulting in improved long-term QOL without hampering the recurrence and survival in the subgroup of early gastric cancer.},
url = {https://tgc.amegroups.com/article/view/1869}
}