Human hybrid endoscopic and laparoscopic management of mass lesions of the foregut (with video)

Willingham, Field F.; Garud, Sagar; Davis, Scott; Lewis, Melinda M.; Maithel, Shishir K.; Kooby, David A.

doi:10.1016/j.gie.2011.11.018

Cited by 9 publications

(10 citation statements)

References 30 publications

(27 reference statements)

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“…Many NOTES surgeries have redemonstrated laparoscopic procedures which have a high degree of safety and little morbidity. More recent studies have raised the possibility that NOTES may come to offer more substantial improvements over the current standard, going beyond cosmesis and reduced pain medication usage [22]. The studies reviewed here suggest a high degree of safety and feasibility with low rates of infection.…”

Section: Discussionmentioning

confidence: 91%

“…Only one series describes NOTES as an emergent procedure with acute intraabdominal infection [21]. A more recent report highlights the first use of a hybrid approach for a malignant tumor of the foregut and describes a series in which the hybrid approach may have been superior to conventional approaches, beyond cosmesis and postoperative pain [22]. The literature review focused on 916 NOTES procedures published between 2007 and 2011 (Table 1).…”

Section: Resultsmentioning

confidence: 99%

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Natural Orifice Translumenal Endoscopic Surgery in Humans: A Review

Clark

Qayed

Kooby

et al. 2012

Minimally Invasive Surgery

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Natural orifice translumenal endoscopic surgery (NOTES) had its origins in numerous small animal studies primarily examining safety and feasibility. In human trials, safety and feasibility remain at the forefront; however, additional logistic, practical, and regulatory requirements must be addressed. The purpose of this paper is to evaluate and summarize published studies to date of NOTES in humans. The literature review was performed using PUBMED and MEDLINE databases. Articles published in human populations between 2007 and 2011 were evaluated. A review of this time period resulted in 48 studies describing procedures in 916 patients. Transcolonic and transvesicular procedures were excluded. The most common procedure was cholecystectomy (682, 75%). The most common approach was transvaginal (721, 79%). 424 procedures (46%) were pure NOTES and 491 (54%) were hybrid NOTES cases. 127 (14%) were performed in the United States of America and 789 (86%) were performed internationally. Since 2007, there has been major development in NOTES in human populations. A preponderance of published NOTES procedures were performed internationally. With further development, NOTES may make less invasive surgery available to a larger human population.

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Section: Discussionmentioning

confidence: 91%

Section: Resultsmentioning

confidence: 99%

Natural Orifice Translumenal Endoscopic Surgery in Humans: A Review

Clark

Qayed

Kooby

et al. 2012

Minimally Invasive Surgery

Self Cite

View full text Add to dashboard Cite

show abstract

“…The hybrid approach has been used for cholecystectomy, appendectomy, sleeve gastrectomy, sigmoidectomy, liver biopsy, and splenectomy, 28 and more recently for management of foregut mass lesions. 5 Although hybrid procedures are not completely scarless, they may facilitate novel minimally invasive techniques and provide a critical safety component for new approaches. Using endoscopy and laparoscopy, it may be possible to perform a complete recapitulation of more traditional major open surgeries as demonstrated this year at DDW.…”

Section: Discussionmentioning

confidence: 99%

“…3 Hybrid and submucosal approaches to upper gastrointestinal tumors in humans may spare major organ resection with life-long quality-of-life implications. [4][5][6] At DDW 2012 (19)(20)(21)(22) May, San Diego, California, USA) data were presented on pure NOTES procedures performed using only conscious sedation, 7 and percutaneous flexible endoscopy-based extraction of gallstones was demonstrated. 8 …”

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confidence: 99%

Natural orifice transluminal endoscopic surgery

Garud

Willingham

2012

Gastrointestinal Endoscopy

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“…However, endophytic tumors may be difficult to locate laparoscopically and may require additional gastrotomies or substantial resections, incorporating a large proportion of the surrounding gastric wall in order to obtain a negative margin. Tumors involving the cardia and gastroesophageal (GE) junction may require a total gastrectomy, which can be a highly morbid surgery with life-long quality-of-life implications [ 7 ]. Tumors involving the pyloric channel may require a formal distal gastrectomy with a Billroth type reconstruction which, while better tolerated than a total gastrectomy, can lead to dumping syndrome, bile reflux gastritis, and an increased risk of gastric stump carcinoma [ 8 – 11 ].…”

Section: Introductionmentioning

confidence: 99%

Hybrid Push-Pull Endoscopic and Laparoscopic Full Thickness Resection for the Minimally Invasive Management of Gastrointestinal Stromal Tumors: A Pilot Clinical Study

Willingham

Reynolds

Lewis

et al. 2015

Gastroenterology Research and Practice

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Background. Gastric gastrointestinal stromal tumors (GISTs) that are predominantly endophytic or in anatomically complex locations pose a challenge for laparoscopic wedge resection; however, endoscopic resection can be associated with a positive deep margin given the fourth-layer origin of the tumors. Methods. Patients at two tertiary care academic medical centers with gastric GISTs in difficult anatomic locations or with a predominant endophytic component were considered for enrollment. Preoperative esophagogastroduodenoscopy (EGD), endoscopic ultrasound (EUS) with or without fine needle aspiration (FNA), and cross-sectional imaging were performed. Eligible patients were offered and consented for hybrid and standard management. Results. Over ten months, four patients in two institutions with anatomically complex or endophytic GISTs underwent successful, uncomplicated push-pull hybrid procedures. GIST was confirmed in all resection specimens. Conclusion. In a highly selected population, the hybrid push-pull approach was safe and effective in the removal of complex gastric GISTs. Endoscopic resection alone was associated with a positive deep margin, which the push-pull technique manages with a laparoscopic, full thickness, R0 resection. This novel, minimally invasive, hybrid laparoscopic and endoscopic push-pull technique is a safe and feasible alternative in the management of select GISTs that are not amenable to standard laparoscopic resection.

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Human hybrid endoscopic and laparoscopic management of mass lesions of the foregut (with video)

Cited by 9 publications

References 30 publications

Natural Orifice Translumenal Endoscopic Surgery in Humans: A Review

Natural Orifice Translumenal Endoscopic Surgery in Humans: A Review

Natural orifice transluminal endoscopic surgery

Hybrid Push-Pull Endoscopic and Laparoscopic Full Thickness Resection for the Minimally Invasive Management of Gastrointestinal Stromal Tumors: A Pilot Clinical Study

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