Table 1 Steps in the introduction of laparoscopic gastrectomy for gastric cancer at Karolinska University Hospital
Step | Time period | Implementation of laparoscopic gastrectomy |
|---|---|---|
1 | 2009–2012 | Consultant surgeon IR, 3-year fellowship in minimally invasive UGI-surgery, Bristol Royal Infirmary, Bristol, UK |
2 | February 2011 | Consultant surgeon MN visits Cancer Institute Hospital, Tokyo, Japan |
3 | March 2012 | Consultant surgeons MN & ML visit center with experience in the field of minimally invasive UGI-surgery, AMC, Amsterdam |
4 | August 2012 | Establishment of recurring 2-year fellowship (Japanese gastric surgeon) at Karolinska, in collaboration with the Cancer Institute Hospital, Tokyo, Japan (ongoing) |
5 | September 2012 | First case of laparoscopic distal gastrectomy |
6 | 2012–2013 | Consultant surgeon ML, 1-year surgical training in minimally invasive UGI-surgery at Flinders Medical Center, Adelaide, Australia |
7 | April 2013 | First case of laparoscopic total gastrectomy |
8 | May 2015 | First case of laparoscopic total gastrectomy with functional end-to-end anastomosis using linear stapler |