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This evolution owes much to pioneering surgeons who have continued to expand the boundaries of innovation. Over recent decades, the field has progressed from the introduction of laparoscopic techniques to the refinement of lymphadenectomy, while surgeons have simultaneously integrated insights from tumor biology, advanced instrumentation, and data analytics to improve decision\u2010making and precision. Progress has been fueled by extensive clinical experience and collaborative multicenter trials that provide evidence\u2010based guidance for clinical practice. With continuing revelations in tumor biology and the emergence of artificial intelligence, new horizons for surgical innovation are opening. At the center of this transformative journey stands the innovative surgeon, driven by passion, guided by data, and steadfast in the commitment to patient safety and quality of life. The surgeon of the future will lead multicenter collaborations, integrating technology and biology to optimize outcomes and continually advance the standards of gastric cancer surgery.<\/jats:p>","DOI":"10.1002\/ags3.70234","type":"journal-article","created":{"date-parts":[[2026,5,11]],"date-time":"2026-05-11T02:49:46Z","timestamp":1778467786000},"page":"1382-1387","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Innovations in Gastric Cancer Surgery During Early Minimally Invasive Era and Future Perspectives"],"prefix":"10.1002","volume":"10","author":[{"given":"Reut","family":"El\u2010On","sequence":"first","affiliation":[{"name":"Center for Gastric Cancer National Cancer Center  Goyang Korea"},{"name":"Division of Thoracic Surgery, Department of Surgery Brigham and Women's Hospital, Harvard Medical School  Boston Massachusetts USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Young\u2010Woo","family":"Kim","sequence":"additional","affiliation":[{"name":"Center for Gastric Cancer National Cancer Center  Goyang Korea"},{"name":"National Cancer Center Graduate School of Cancer Science and Policy  Goyang Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,5,10]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa0707035"},{"issue":"2","key":"e_1_2_8_3_1","first-page":"146","article-title":"Laparoscopy\u2010Assisted Billroth I Gastrectomy","volume":"4","author":"Kitano S.","year":"1994","journal-title":"Surgical Laparoscopy & Endoscopy"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1007\/s004640080154"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1007\/PL00011690"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00464-005-0282-7"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1097\/SLA.0b013e318185e62e"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1097\/SLA.0000000000002168"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamaoncol.2018.6727"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.1200\/JCO.20.01210"},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/S2468-1253(19)30332-2"},{"key":"e_1_2_8_12_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamasurg.2023.0096"},{"key":"e_1_2_8_13_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2019.5359"},{"key":"e_1_2_8_14_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamaoncol.2020.3152"},{"key":"e_1_2_8_15_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamasurg.2021.3182"},{"issue":"3","key":"e_1_2_8_16_1","doi-asserted-by":"crossref","DOI":"10.1136\/bmjopen-2018-026209","article-title":"Development of a Surgical Quality Assurance Framework for Randomized Trials: An Example From the ROMIO Study","volume":"9","author":"Blazeby J. 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