Pylorus‐Preserving Gastrectomy for Gastric Cancer: Current Evidence and Future Directions
Sa‐Hong Kim, Hyuk‐Joon Lee · 2026
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Description
Sa-Hong Kim and Hyuk-Joon Lee review pylorus-preserving stomach surgery for early gastric cancer in a 2026 paper. For middle-third tumors at least 4 centimeters from the pylorus, preserving the pylorus and nearby nerves and vessels maintains normal stomach emptying without compromising cancer safety.
Randomized trials, including the Korean KLASS-04 trial, showed fewer gallstones, less bile reflux, and better nutrition after the preserving operation. Technical demands and delayed emptying remain concerns, eased by minimally invasive tools and indocyanine green imaging. Surgeons gain a current synthesis of indications, benefits, and limits.
Catalog record
| CREATOR | Sa‐Hong Kim, Hyuk‐Joon Lee |
|---|---|
| YEAR | 2026 |
| COLLECTION | PAPERS |
| FORMAT | TXT |
| FILE SIZE | 39 KB |
| VERSION | 1.0 |
| LICENSE | CC BY 4.0 |
| RIGHTS | CC BY |
| SOURCE | Europe PMC |