Intraoperative portable abdominal radiograph for tumor localization: a simple and accurate method for laparoscopic gastrectomy

Kim, Wook; Hyung, Woo Jin; Lee, Cho Rok; Lim, Joon Seok; An, Ji Yeong; Cheong, Jae‐Ho; Choi, Seung Ho; Noh, Sung Hoon

doi:10.1007/s00464-010-1288-3

Cited by 73 publications

(72 citation statements)

References 18 publications

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“…So far, in the clinical setting, several techniques for intraoperative identification of the tumor have been reported, such as preoperative or intraoperative tattooing [8,14], intraoperative endoscopy [15], intraoperative radiography [9,16], and intraoperative ultrasonography [7]. Preoperative tattooing with dye injection is probably the simplest of these, and is often used in colon surgery [17][18][19].…”

Section: Discussionmentioning

confidence: 99%

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Simple and reliable method for tumor localization during totally laparoscopic gastrectomy: intraoperative laparoscopic ultrasonography combined with tattooing

et al. 2016

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We have developed a new method to localize a tumor during totally laparoscopic gastrectomy that uses intraoperative laparoscopic ultrasonography combined with preoperative clipping and tattooing. One or 2 days before the surgery, endoscopic clipping was performed just proximal to the tumor, followed by tattooing with India ink at the clipping site. Examination by intraoperative laparoscopic ultrasonography was performed at the tattooed site to detect the clips. The resection line of the stomach was determined with use of the detected clips as a marker of the proximal margin of the tumor. This method was attempted in 14 patients who underwent totally laparoscopic gastrectomy, and the clips were successfully identified in all patients. The clips were visualized as several layers of a hyperechoic bar, which was termed a ''ladder sign.'' The mean time from insertion of the laparoscopic probe to identification of the clips was 2 min. The ladder sign is an important finding in this method.

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Section: Discussionmentioning

confidence: 99%

“…On the other hand, the establishment of an intraoperative tumor localization technique during TLG remains an important issue. Although several methods have been reported to date [7][8][9][10], none are considered consistently reliable.…”

Section: Introductionmentioning

confidence: 99%

Simple and reliable method for tumor localization during totally laparoscopic gastrectomy: intraoperative laparoscopic ultrasonography combined with tattooing

et al. 2016

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“…These include preoperative endoscopic tattooing of the tumor, intraoperative endoscopy [ 8 ], or laparoscopic ultrasound [ 9 , 22 ]. The authors prefer using preoperatively placed endoclips and an intraoperative abdominal x-ray, which has been found to be very successful [ 23 ]. …”

Section: Intraoperative Determination Of the Resection Extentmentioning

confidence: 99%

Gastric Cancer: Partial, Subtotal, and Total Gastrectomies/Lymph Node Dissection for Gastric Malignancies

Hyung

Woo

2013

Robotics in General Surgery

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“…To determine the proximal resection line for R0 resection, preoperative endoscopic placement of radiopaque hemoclips or intraoperative endoscopic localization is required, especially for small or non‐palpable tumors 12, 13, 14, 15. Regarding the extent of lymph node dissection, it follows the Japanese classification of Gastric Carcinoma guidelines: D1+ lymph node dissection is indicated for clinically early gastric cancer without evidence of lymph node metastasis and D2 is indicated for advanced gastric cancer or any evidence of regional lymph node involvement 10…”

Section: Indications Of Robotic Applicationmentioning

confidence: 99%

Robotic gastrectomy for gastric cancer: Current evidence

Alhossaini

Altamran

Seo

et al. 2017

Annals of Gastroent Surgery

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The robotic system has gained wide acceptance in specialties such as urological and gynecological surgery. It has also been applied in the field of upper gastrointestinal surgery. Since the first implementation of the robotic system for the treatment of gastric adenocarcinoma, the procedure has been found to be safe and feasible. Although robotic gastrectomy does not meet our expectations and yield better results than laparoscopic gastrectomy, this procedure seems to provide several advantages over laparoscopy such as reduced blood loss, shorter learning curves and increased number of retrieved lymph nodes. However, as many case series, including a recent multicenter study, have revealed, higher cost and longer operation time are the major limitations of robotic gastrectomy. Furthermore, there are no results from well‐designed randomized clinical trials comparing the two procedures. New procedures in much more technically demanding cases will test the genuine benefits of robotic gastrectomy.

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Intraoperative portable abdominal radiograph for tumor localization: a simple and accurate method for laparoscopic gastrectomy

Abstract: Preoperative endoscopic clipping and intraoperative portable abdominal radiograph is an accurate and simple tumor localization method in laparoscopic gastrectomy.

Cited by 73 publications

References 18 publications

Simple and reliable method for tumor localization during totally laparoscopic gastrectomy: intraoperative laparoscopic ultrasonography combined with tattooing

Simple and reliable method for tumor localization during totally laparoscopic gastrectomy: intraoperative laparoscopic ultrasonography combined with tattooing

Gastric Cancer: Partial, Subtotal, and Total Gastrectomies/Lymph Node Dissection for Gastric Malignancies

Robotic gastrectomy for gastric cancer: Current evidence

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