Laparoscopic intraluminal (intragastric) surgery for early gastric cancer

Ohashi, Satoshi

doi:10.1007/bf00191960

Cited by 228 publications

(159 citation statements)

References 2 publications

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“…A variety of minimally invasive treatments for early gastric cancer have been reported, such as EMR [1][2][3][4], laparoscopic wedge resection [5], and laparoscopic intraluminal surgery [6]. However, these operations do not include regional LN dissection.…”

Section: Discussionmentioning

confidence: 99%

“…Therefore, it would seem logical to carry out the resection of perigastric LNs, at least for patients with early gastric cancer. In this respect, LADG has higher curability (similar to that of conventional ODG with regional LN dissection) than that of the above-mentioned operations [1][2][3][4][5][6]. However, the usefulness of and indications for LADG still remain unclear.…”

Section: Discussionmentioning

confidence: 99%

“…New techniques, such as endoscopic mucosal resection (EMR) [1][2][3][4], laparoscopic partial resection [5], and intragastric surgery [6], have been reported as minimally invasive surgery for early gastric cancer. However, in these operations, the regional lymph nodes (LNs) around the primary tumor cannot be resected.…”

Section: Introductionmentioning

confidence: 99%

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The usefulness of laparoscopy-assisted distal gastrectomy in comparison with that of open distal gastrectomy for early gastric cancer

et al. 2001

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Generally, LN metastases are seen in a small percentage of patients with early gastric cancer with mucosal or submucosal invasion [7]. In recent years, the technique of laparoscopy-assisted distal gastrectomy (LADG) with regional LN dissection has been developed and employed for early gastric cancer [8]. In March, 1997, we began to perform LADG as a minimally invasive surgery for early gastric cancer. However, the feasibility of LADG for early gastric cancer and the associated clinical outcome of patients who undergo LADG for early gastric cancer remain unclear.We therefore conducted a review of patients who underwent LADG for early gastric cancer, in an effort to compare the operative times, intra-operative blood loss, number of removed lymph nodes, postoperative recovery, and morbidity and mortality rates of LADG and conventional open distal gastrectomy (ODG). Our research was aimed at determining whether the laparoscopic procedure of LADG for early gastric cancer is really safe and minimally invasive, and whether or not the LADG improves quality of life, compared with ODG. Patients and methods PatientsThe patients were preoperatively diagnosed as having an early gastric cancer located in the lower or middle third of the stomach, from the results of endoscopy, endoscopic ultrasonography (EUS), and examination of biopsy specimens. The indications for LADG were that: (1) the tumor was located in the middle or lower part of the stomach, (2) the invasion of the tumor was limited to the mucosal layer or the submucosal layers (SM1). Results. The clinical and pathological backgrounds of the patients in the two groups were similar. The duration of surgery was not significantly different between the two groups, but the blood loss in the LADG group was significantly less than that in the ODG group. The number of removed lymph nodes was not significantly different between the two groups. The times to the first passing of flatus, first walking, and the restarting of oral intake; the length of hospital stay; and the duration of epidural analgesia were significantly shorter in the LADG group. The morbidity rate in the LADG group was lower than that in the ODG group. Conclusions. LADG is a safe and minimally invasive surgical technique, after which we can expect a faster recovery.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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The usefulness of laparoscopy-assisted distal gastrectomy in comparison with that of open distal gastrectomy for early gastric cancer

et al. 2001

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“…(Fig. 2) And Ohashi et al attempted the intragastric mucosal resection (IGMR) for EGC of the stomach located at the posterior wall for the first time [8]. The aim of both procedures was to minimize the extent of gastric resection for the treatment of a malignant disease with a low risk of lymph node metastasis, therefore to reduce the accompanying physiologic side effects by the standard gastrectomy.…”

Section: History and The Current Status Of Laparoscopic Surgery For Gmentioning

confidence: 99%

Laproscopic Surgery for Gastric Cancer

Song¹,

Yoo²,

Lee³

et al. 2011

Management of Gastric Cancer

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“…Key words Minimally invasive surgery · Laparoscopy · Gastric cancer · Gastric adenocarcinoma · Gastric cancer in the West · Laparoscopic gastrectomy EGC of the stomach at the posterior wall [8]. The aim of both procedures was to restrict the extent of gastric resection in the treatment of malignant disease with low risk of lymph node metastasis, therefore reducing the physiologic side effects of a standard gastrectomy.…”

Section: Introductionmentioning

confidence: 99%