Abstract
Standard surgery for gastric cancer has been defined in recent decades by evidence mainly from the East, where updates for minimally invasive management have been incorporated, especially in the early stages of this disease. There is current evidence from multiple randomized and controlled studies comparing minimally invasive surgery and open surgery in gastric cancer. Consequently, we can affirm with sufficient support that in early gastric cancer, laparoscopic distal gastrectomy can be considered as the standard treatment. However, more results should be expected to make the same statement for total gastrectomies, both for early and locally advanced gastric cancer. The aim in this update is to report on the current available evidence in the management of gastric cancer with minimally invasive treatment.
