Feasibility and safety of laparoscopic and endoscopic cooperative surgery for gastric submucosal tumors, including esophagogastric junction tumors

Digestive Endoscopy : Official Journal of the Japan Gastroenterological Endoscopy Society
Shu HoteyaMitsuru Kaise

Abstract

Recently, the use of endoscopic submucosal dissection (ESD) for gastric submucosal tumor (gSMT) and the development of laparoscopic and endoscopic cooperative surgery (LECS) have enabled either preservation of the stomach or minimization of the extent of partial resection. In the present study, the outcomes following the recent introduction of LECS for gSMT are presented. The aim of this retrospective study was to evaluate the feasibility and safety of LECS for gSMT, including esophagogastric junction (EGJ) SMT. LECS is indicated for lesions that have an intragastric growth pattern, or for which fundusectomy can be avoided despite an extragastric growth pattern. We retrospectively evaluated the outcome of LECS carried out in 25 patients including five EGJ SMT. Surgery was completed achieving an R0 resection rate of 100% with no postoperative complications. Mean tumor size was 32.3 ± 13.5 mm and mean resected specimen size was 37.6 ± 13.5 mm. Resection margins were tumor-free in all cases, with adequate minimum surgical margins, and precise conclusive diagnosis was achieved with perfect operative specimens. Endoscopic confirmation of the EGJ enabled the extent of resection to be minimized and the stomach to be preserved, avoidin...Continue Reading

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Citations

Dec 20, 2015·Gastrointestinal Endoscopy·Tatsuo MatsudaToshiharu Yamaguchi
Apr 3, 2016·Gastrointestinal Endoscopy Clinics of North America·Hyung Hun Kim, Noriya Uedo
Apr 7, 2016·Minimally Invasive Therapy & Allied Technologies : MITAT : Official Journal of the Society for Minimally Invasive Therapy·Bin LiHongwei Xu
Nov 14, 2014·Digestive Endoscopy : Official Journal of the Japan Gastroenterological Endoscopy Society·Naoki HikiToshiharu Yamaguchi
Jun 19, 2016·Gastrointestinal Endoscopy·Dennis Yang, Peter V Draganov
Aug 2, 2016·Cancer·Toshirou NishidaNaohisa Yahagi
Sep 8, 2016·Gastric Cancer : Official Journal of the International Gastric Cancer Association and the Japanese Gastric Cancer Association·Satoru KikuchiToshiyoshi Fujiwara
Oct 17, 2017·Current Treatment Options in Gastroenterology·Vivien Wai Yin WongPhilip Wai Yan Chiu
Nov 6, 2018·Surgical Laparoscopy, Endoscopy & Percutaneous Techniques·Honglei WangYongjie Zhao
Nov 26, 2015·World Journal of Gastroenterology : WJG·Dimitrios Ntourakis, Georgios Mavrogenis
May 28, 2019·Annals of Gastroenterological Surgery·Naoki Hiki, Souya Nunobe
Jun 2, 2020·Gastric Cancer : Official Journal of the International Gastric Cancer Association and the Japanese Gastric Cancer Association·Junya AoyamaYuko Kitagawa
Aug 6, 2014·Journal of Clinical Gastroenterology·Jiaoyang LuMinhua Zheng
Mar 14, 2018·World Journal of Surgical Oncology·Masahiko AokiKazuhide Higuchi
Nov 15, 2017·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Xin YeZhigang Xue

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