New Technique for Laparoscopic Wedge Resection for Gastric Submucosal Tumor: (Laparoscopy Endoscopy Cooperative Surgery)

直樹, 比企; 哲, 福永; 明, 三木; 正則, 徳永; 繁和, 大山; 泰之, 瀬戸; 雅敏, 大矢; 順司, 山本; 明夫, 斎浦; 俊晴, 山口

doi:10.5833/jjgs.41.1661

Cited by 8 publications

(3 citation statements)

References 10 publications

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“…3 To minimize the extent of resection, laparoscopic and endoscopic cooperative surgery (LECS) is increasingly used, particularly for tumors located near the EGJ. 4 However, owing to limitations in the endoscopic visual field and manipulation, 3 total or proximal gastrectomy is often selected as the treatment strategy. In 1993, Ohashi et al 5 performed the first intragastric surgery to preserve the stomach for EGJ tumors, F I G U R E 1 Port placement.…”

Section: Discussionmentioning

confidence: 99%

“…Gastric GISTs often develop adjacent to the fundus, posing challenges for local resection without causing deformation or stenosis 3 . To minimize the extent of resection, laparoscopic and endoscopic cooperative surgery (LECS) is increasingly used, particularly for tumors located near the EGJ 4 . However, owing to limitations in the endoscopic visual field and manipulation, 3 total or proximal gastrectomy is often selected as the treatment strategy.…”

Section: Discussionmentioning

confidence: 99%

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Robot‐assisted distal gastrectomy and local resection for gastric cancer and gastrointestinal stromal tumor

Ishizuka,

Ishikawa,

Yagi

et al. 2024

Asian J Endoscop Surgery

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Gastrointestinal stromal tumors surrounding the esophagogastric junction are often challenging to resect, with no consensus regarding the optimal surgical technique. Here in, we present a case of concurrent gastric cancer in the antrum and gastrointestinal stromal tumors adjacent to the esophagogastric junction. The patient underwent simultaneous distal gastrectomy and local resection assisted by a surgical robot, avoiding the need for total gastrectomy. The utilization of robot‐assisted surgery has become an increasingly popular technique, holding promise for simplifying complex surgical procedures across diverse medical settings.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Robot‐assisted distal gastrectomy and local resection for gastric cancer and gastrointestinal stromal tumor

Ishizuka,

Ishikawa,

Yagi

et al. 2024

Asian J Endoscop Surgery

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“…In particular, giant gastric bezoars may be treated by highly invasive therapy, such as open surgery 1 . We describe our experience with a patient in whom we successfully extracted a giant gastric trichobezoar in a minimally invasive fashion by laparoscopic and endoscopic cooperative surgery (LECS), performed in accordance with the principles of LECS 2 , and we discuss the related literature.…”

Section: Introductionmentioning

confidence: 99%

A giant trichobezoar extracted by laparoscopic and endoscopic cooperative surgery (LECS)

et al. 2018

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A gastric bezoar is a mass that forms in the stomach. A giant gastric bezoar is particularly difficult to treat medically, and surgical therapy is selected. We describe our experience with a patient who had a giant gastric trichobezoar that was extracted by laparoscopic and endoscopic cooperative surgery (LECS) in accordance with the principles of LECS. The patient was a 32-year-old woman who presented at our hospital because of abdominal pain. Upper gastrointestinal endoscopy confirmed the presence of a giant gastric trichobezoar extending from the gastric cardia to the gastric angle. Because endoscopic removal was considered difficult, we extracted the giant gastric trichobezoar by LECS. The concurrent use of endoscopy was considered to allow a gastric bezoar to be extracted more safely and reliably than was previously possible.

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Single-port laparoscopic and endoscopic cooperative surgery for a gastric gastrointestinal stromal tumor: report of a case

et al. 2014

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We herein report a case of single-port laparoscopic and endoscopic cooperative surgery (LECS) for a gastric gastrointestinal stromal tumor (GIST). A 75-year-old female with an endoluminal GIST located near the esophagogastric junction underwent LECS. Both the mucosal and submucosal layers around the tumor were circumferentially dissected using endoscopic submucosal dissection via intraluminal endoscopy. The endoluminal GIST was exteriorized to the abdominal cavity. The tumor and the edge of the incision line were closed using an endoscopic linear stapler. The LECS was successfully accomplished without the need for any skin incisions or additional ports. The length of the operation was 120 min and blood loss was 5 ml. Oral intake was resumed on the second day and the length of hospital stay was 5 days. No complications were noted and the patient had an excellent cosmetic result. In our experience, single-port LECS is feasible and safe for gastric GIST when performed by a surgeon experienced in laparoscopic and gastric surgery.

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New Technique for Laparoscopic Wedge Resection for Gastric Submucosal Tumor: (Laparoscopy Endoscopy Cooperative Surgery)

Cited by 8 publications

References 10 publications

Robot‐assisted distal gastrectomy and local resection for gastric cancer and gastrointestinal stromal tumor

Robot‐assisted distal gastrectomy and local resection for gastric cancer and gastrointestinal stromal tumor

A giant trichobezoar extracted by laparoscopic and endoscopic cooperative surgery (LECS)

Single-port laparoscopic and endoscopic cooperative surgery for a gastric gastrointestinal stromal tumor: report of a case

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