With the advancement of surgical techniques and enhanced management of early gastric cancer (EGC), minimally invasive function-preserving surgical approaches have emerged as a common goal for patients and clinicians. Laparoscopic-endoscopic cooperative surgery combined with sentinel lymph node navigation surgery (LECS-SNNS) has drawn increasing interest because of its dual benefits of minimal invasiveness and organ function preservation. However, robust evidence-based support for guiding clinical implementation remains limited. To address this gap, we systematically evaluated available studies on the clinical application of LECS-SNNS in EGC and integrated expert insights to formulate 20 recommendations. These included preoperative assessment, surgical techniques, intraoperative endoscopic procedures, pathological evaluation, postoperative care, and follow-up. This consensus aimed to provide comprehensive guidance for the standardized application of LECS-SNNS, thereby advancing precise, minimally invasive, and function-preserving treatment for EGC.
Zhi et al. (Thu,) studied this question.