Laparoendoscopic Single Site Partial Resection of the Stomach for Gastrointestinal Stromal Tumor

Hirano, Yasumitsu; Watanabe, Tôru; Uchida, Tsuneyuki; Yoshida, Shuhei; Kato, Hideaki; Hasegawa, Osamu

doi:10.1097/sle.0b013e3181e36a5b

Cited by 33 publications

(23 citation statements)

References 17 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Many surgeons have attempted to reduce the number and size of ports in laparoscopic surgery to reduce parietal trauma and improve cosmetic results, and SILS has been developed, allowing completed laparoscopic procedures by trocars located at one umbilical incision [5,6]. The application of SILS for colon and rectal surgery has emerged recently in the published literature [1][2][3][7][8][9].…”

Section: Discussionmentioning

confidence: 99%

Short-Term Clinical and Oncological Outcomes after Single-Incision Plus One Port Laparoscopic Anterior Resection for Rectal Cancer

Hirano

Hattori²,

Douden³

et al. 2017

Dig Surg

Self Cite

View full text Add to dashboard Cite

Aim: In the past, we developed and reported single-incision plus one port laparoscopic anterior resection (SILS + 1-AR) of the rectum. In this study, we reviewed our experiences with 141 consecutive patients admitted in a community hospital for undergoing SILS + 1-AR for rectal cancer and evaluated the short-term clinical and oncological outcomes. Methods: A lap protector (LP) was inserted through a 2.5 cm transumbilical incision; an EZ-access was mounted to the LP and three 5-mm ports were placed. A 12-mm port was inserted in the right lower quadrant. Results: One hundred thirty-six patients (96.5%) completed their treatment with SILA+1-AR. The number of tumor locations in the rectosigmoid, rectum area above the peritoneal reflection (Ra), and rectum area below the peritoneal reflection (Rb) were 44, 63, and 29 respectively. Six (5.6%) tumor recurrences or metastasis occurred in 107 patients with stages I-III disease with a median follow-up of 30 months. One patient with a positive surgical margin rejected additional resection of the positive margin and died of recurrent disease. Conclusion: Our initial experiences suggested that SILS + 1-AR is a feasible and a safe treatment option for rectal cancer patients treated by experienced surgeons specialized in SILS. However, further studies are needed to demonstrate the advantages of this procedure compared to the benefits of conventional laparoscopic AR.

show abstract

Section: Discussionmentioning

confidence: 99%

Short-Term Clinical and Oncological Outcomes after Single-Incision Plus One Port Laparoscopic Anterior Resection for Rectal Cancer

Hirano

Hattori²,

Douden³

et al. 2017

Dig Surg

Self Cite

View full text Add to dashboard Cite

show abstract

“…In fact, a few sporadic reports of GIST resection by SILS have been published in recent years;10–14 special equipment designed for single-port surgery and assisted small incision were useful in these cases. A 2 mm mini-loop retractor inserted through an extra incision through the left subcostal space was used to retract the stomach.…”

Section: Discussionmentioning

confidence: 99%

Single incision versus conventional laparoscopic resection in gastrointestinal stromal tumors: a retrospective cohort analysis at a single tertiary care center

Kong

Yang

et al. 2014

OTT

View full text Add to dashboard Cite

BackgroundSingle-incision laparoscopic surgery (SILS), an advanced form of minimally invasive surgery, has recently been used for surgical management of gastrointestinal stromal tumors (GIST). The literature comparing SILS to conventional laparoscopic surgery for treatment of this disease is limited. This study aimed to evaluate the feasibility and effectiveness of SILS compared with conventional laparoscopic resection for GIST.MethodsA retrospective case-cohort study compared the benefits and outcomes of SILS and conventional laparoscopic partial gastrectomy for GIST. Between April 2008 and December 2012, 39 patients underwent laparoscopic gastrectomy for gastric stromal tumors in our department. All operations were performed by a single experienced surgeon. The medical records of these patients were reviewed retrospectively with regard to tumor size, operating time, and other clinical features.ResultsSILS resection was performed on 19 patients, whereas 20 patients had conventional laparoscopic resection. Compared with the conventional laparoscopic group, the operative time for the SILS group was shorter, but the time for recovery of gastrointestinal function and postoperative hospital stay for the SILS group was similar to that of the conventional laparoscopic group. No intraoperative or postoperative complications were recorded in either group.ConclusionCompared with the conventional laparoscopic procedure, SILS in gastric stromal tumors is as feasible and safe when performed by experienced surgeons.

show abstract

“…Tumors that are located in the fundus or in the body of the stomach and along the greater gastric curvature are accessible by endoscopic resection, as there is sufficient space and mobility for extensive resection and manual sewing of the incision of the stomach (38). Endoscopic resection is also applicable for anterior lesions of the stomach as the endoscope can gain access to the peritoneal cavity via an incision in the stomach with clear broad vision (39,40). However, the endoscopic GIST dissection procedure is restricted to submucosal dissection due to unfavorable bleeding of the muscle layer (41).…”

Section: Discussionmentioning

confidence: 99%

An innovative procedure of laparoscope combined with endoscopy for gastrointestinal stromal tumor resection and cholecystectomy: A case report and literature review

Yan

Gai

et al. 2016

Experimental and Therapeutic Medicine

View full text Add to dashboard Cite

Abstract. The present study reports a novel approach to laparoscopic and endoscopic cooperative surgery for gastric gastrointestinal stromal tumor (GIST) resection and cholecystectomy, and conducts a review of the associated literature. The novel surgical procedure was performed on one patient who was diagnosed with a GIST and cholecystic polypus. The GIST was resected using an insulation-tipped diathermic electrosurgical knife under the guide of an endoscope. Subsequently, a cholecystectomy was performed by inserting two more 5-mm trocars and instruments transumbilically, guided using an endoscope. The tumor and the gallbladder were exteriorized using a peroral approach and the incision lining of the stomach was sutured laparoscopically. The procedure was successfully performed and the patient experienced no discomfort during the 5-year follow-up. In conclusion, the present study demonstrates that laparoscopic and endoscopic cooperative surgery is feasible and would be an ideal choice for invisible abdominal scar surgery, in particular for multi-visceral resection.

show abstract

Laparoendoscopic Single Site Partial Resection of the Stomach for Gastrointestinal Stromal Tumor

Cited by 33 publications

References 17 publications

Short-Term Clinical and Oncological Outcomes after Single-Incision Plus One Port Laparoscopic Anterior Resection for Rectal Cancer

Short-Term Clinical and Oncological Outcomes after Single-Incision Plus One Port Laparoscopic Anterior Resection for Rectal Cancer

Single incision versus conventional laparoscopic resection in gastrointestinal stromal tumors: a retrospective cohort analysis at a single tertiary care center

An innovative procedure of laparoscope combined with endoscopy for gastrointestinal stromal tumor resection and cholecystectomy: A case report and literature review

Contact Info

Product

Resources

About