Laparoscopic and luminal endoscopic cooperative surgery can be a standard treatment for submucosal tumors of the stomach: a retrospective multicenter study

Matsuda, Tatsuo; Nunobe, Souya; Kosuga, Toshiyuki; Kawahira, Hiroshi; Inaki, Noriyuki; Kitashiro, Shuji; Abe, Nobutsugu; Miyashiro, Isao; Nagao, Sayaka; Nishizaki, Masahiko; Hiki, Naoki; Surgery, Endoscopy Cooperative

doi:10.1055/s-0043-104526

Cited by 50 publications

(39 citation statements)

References 21 publications

(14 reference statements)

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“…The hybrid approach includes LECS, non‐exposed endoscopic wall‐inversion surgery ( NEWS ), and closed LECS . These procedures have been of increasing interest in this field in Japan.…”

Section: Discussionmentioning

confidence: 99%

Comparison between endoscopic and laparoscopic removal of gastric submucosal tumor

Abe

Takeuchi

Ohki

et al. 2018

Digestive Endoscopy

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Results: The ER group had a significantly higher percentage of intraluminal growing type of tumor (100% vs 41%) and smaller tumor size (23 vs 33 mm) than the LR group. The ER group had a significantly shorter operative time (93 vs 145 min) and less blood loss (13 vs 30 mL) than the LR group. In the ER group, three patients who had tumors located on the anterior wall of the stomach required laparoscopic closure after EFTR because of difficulty in endoscopic closure of the gastric-wall defect. Postoperative complication rates and duration of postoperative hospital stays did not differ between the two groups.Conclusions: ER may be technically feasible, safe, less invasive, and oncologically appropriate options for selected patients with the intraluminal growing type of G-SMT smaller than 30 mm. EFTR may be more reasonable alternatives to LR in selected patients with a small G-SMT located on the lesser curvature side.

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“…The hybrid approach includes LECS, non‐exposed endoscopic wall‐inversion surgery ( NEWS ), and closed LECS . These procedures have been of increasing interest in this field in Japan.…”

Section: Discussionmentioning

confidence: 99%

Comparison between endoscopic and laparoscopic removal of gastric submucosal tumor

Abe

Takeuchi

Ohki

et al. 2018

Digestive Endoscopy

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“…Although there are few reports on LECS, surgical safety and therapeutic effect on the tumor still require further evaluation. The existing studies have indicated that LECS operation is a very suitable surgical method for the resection of small mesenchymal tumors [21].…”

Section: Discussionmentioning

confidence: 99%

Laparoscopic and Endoscopic Cooperative Dissection for Small Gastric Gastrointestinal Stromal Tumor without Causing Injury to the Mucosa

Cao¹,

Zheng²,

Wang³

et al. 2019

Gastroenterology Research and Practice

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Objective. To investigate the feasibility of laparoscopic and endoscopic cooperative dissection (LECD) for small gastric gastrointestinal stromal tumors (GISTs) without causing injury to the mucosa, compared with ESD surgery which is widely used now. Methods. A total of 25 patients with small gastric GISTs who underwent LECD and 20 patients with small gastric GISTs who underwent ESD between October 2014 and June 2016 were included in this study. All patients underwent curative resection for pathologically diagnosed small gastric GISTs. Patients' clinical data were retrospectively analyzed. Results. In LECD group, the operation was successfully performed in all patients. However, in the ESD group, three patients were transferred to laparoscopic surgery due to intraoperative massive bleeding or intraoperative perforation. No additional targeted chemotherapy drugs for interstitial tumors were prescribed in two groups. There was no difference in the complete tumor capsule rate (100% vs. 90%, p = 0:11), operation time (80:76 ± 13:86 ml vs. 84:05 ± 15:33 ml, p = 0:45), major intraoperative bleeding (0 vs. 5%, p = 0:26), postoperative bleeding (0 vs. 10%, p = 0:11), and postoperative infection (0 vs. 10%, p = 0:11) between the two groups. Compared to ESD (endoscopic submucosal dissection), LECS patients had shorter postoperative indwelling gastric tube (1:04 ± 0:98 d vs. 2:85 ± 0:24 d, p < 0:01), earlier postoperative eating (1:96 ± 0:98 d vs. 3:50 ± 1:15 d, p < 0:01), shorter average postoperative hospital stay (3:44 ± 1:00 d vs. 7:85 ± 1:18 d, p < 0:01), smaller perforation rate (0 vs. 25%, p < 0.05), and fewer surgical supplies. No recurrence or metastasis cases were found between the two groups during the follow-up period, and there were no cases of death due to gastric GISTs. Conclusion. LECD is a novel surgery for small gastric gastrointestinal stromal tumors that leads to satisfactory short-term outcomes and meets the idea of minimally invasive surgery and rapid recovery; compared with ESD, LECD surgery has some advantages in clinical practice. However, further follow-up is needed to confirm.

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“…Although first reports of CELS resection in laparoscopically difficult regions like the duodenum exist, we think that these indications should be reserved to experts only [46]. CELS is predominantly and easier applicable in gastric and colonic lesions [47][48][49].…”

Section: Clinical Applicationsmentioning

confidence: 99%

Endoscopic Resection Techniques

Hoffman¹,

Heesen²,

Kollmar³

et al. 2017

Visc Med

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Laparoscopic and luminal endoscopic cooperative surgery can be a standard treatment for submucosal tumors of the stomach: a retrospective multicenter study

Cited by 50 publications

References 21 publications

Comparison between endoscopic and laparoscopic removal of gastric submucosal tumor

Comparison between endoscopic and laparoscopic removal of gastric submucosal tumor

Laparoscopic and Endoscopic Cooperative Dissection for Small Gastric Gastrointestinal Stromal Tumor without Causing Injury to the Mucosa

Endoscopic Resection Techniques

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