Partial gastrectomy using natural orifice translumenal endoscopic surgery (NOTES) for gastric submucosal tumors: early experience in humans

Nakajima, Kiyokazu; Nishida, Toshirou; Takahashi, Tsuyoshi; Souma, Yoshihito; Hara, Johji; Yamada, Takuya; Yoshio, Toshiyuki; Tsutsui, Tateki; Yokoi, Takeshi; Mori, Masaki; Doki, Yuichiro

doi:10.1007/s00464-009-0474-7

Cited by 57 publications

(35 citation statements)

References 12 publications

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“…Bernhardt und Kollegen [3]. Alle anderen transvaginalen Operationen brauchten ein oder mehrere laparoskopische Hilfsinstrumente, oder die Scheide wurde hauptsächlich als Bergeweg genutzt: Appendektomie, rechtsseitige Hemikolektomie, Sigmaresektion, Splenektomie, Leberresektion, Sleeve-Gastrektomie, atypische Magenresektion, Nephrektomie, Versorgung einer Nabelhernie[5, 9,12,16,17,19,20,24,26,28]. Dabei handelt es sich überwie-gend um Einzelfallbeschreibungen.Im Gegensatz zu den geringen Fallzahlen in publizierten Serien weist das deutsche NOTES-Register der DGAV (Deutschen Gesellschaft für Allgemeinund Viszeralchirurgie) Zahlen in ganz anderen Dimensionen auf.…”

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NOTES über den transvaginalen Zugang

Zornig

Mofid

Siemssen

et al. 2010

Chirurg

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NOTES ("natural orifice transluminal endoscopic surgery") has the potential to optimize minimally invasive surgery. In gynecology there is extensive experience with the transvaginal approach to the abdominal cavity. It is easy to perform, closure is safe and there is little risk of infection. Hence, this is the approach most suitable for NOTES. By means of rigid laparoscopic instruments cholecystectomy can be routinely performed. Such operations could be performed in 149 patients in our hospital and the NOTES register of the DGAV has data on more than 900 transvaginal operations.

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NOTES über den transvaginalen Zugang

Zornig

Mofid

Siemssen

et al. 2010

Chirurg

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“…Methods to detect LN metastasis should be considered for patients undergoing minimally invasive treatment, and SN biopsy combined with local treatment for EGC will be used in the future. The SN detection rate has been reported to be 93.5-100%, with a diagnostic accuracy of SN biopsy for predicting regional lymph node status of 85-100% [17][18][19][20]. A combination of either ESD or full thickness local resection with SN biopsy is another potential treatment option for EGC.…”

Section: Discussionmentioning

confidence: 99%

Recent Advances in Endoscopic and Laparoscopic Management of Gastric Malignancy: A Literature Review

Kawahira¹,

Hayashi²,

Asano³

et al. 2013

J Gastrointest Dig Syst

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The current gold standard treatment for early gastric cancer (EGC) is en bloc resection with D2 lymph node dissection because GC tends to spread to the lymph nodes at an early stage. Endoscopic submucosal dissection (ESD) and laparoscopic gastrectomy may be considered as treatment options for EGC, depending on oncological stage. ESD provide local treatment only. Sentinel node (SN) mapping can indicate which nodes will be the first to be affected. Local resection of the primary lesion with SN biopsy would therefore be an ideal treatment for EGC. ESD followed by SN biopsy involve full-thickness resection of the gastric wall, and it is expected that they will be more commonly used for the treatment of appropriate stages of EGC in the near future.

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“…This technique was developed as an extension of natural orifice transluminal endoscopic surgery (NOTES). Nakajima et al [16] subsequently reported partial gastrectomy using NOTES in patients with gastric submucosal tumors. There are four potential natural orifice specimen extraction (NOSE) routes: transgastric, transrectal, transvaginal, and transurethral.…”

Section: Discussionmentioning

confidence: 99%

Trans-vaginal specimen extraction following totally laparoscopic subtotal gastrectomy in early gastric cancer

et al. 2011

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Background Although natural orifice extraction is now widely performed, there have been no reports of this procedure following subtotal gastrectomy for gastric cancer. This report describes trans-vaginal specimen extraction in four patients with early gastric cancer. Methods The clinical data of four patients with early gastric cancer were reviewed. Totally laparoscopic subtotal gastrectomy and D1 ? b lymph node dissection was performed using five trocars and a conventional procedure. Posterior colpotomy was performed by an experienced gynecologist, who retrieved the specimens in a retrieval bag via the trans-vaginal route. The colpotomy site was repaired immediately following specimen removal. Reconstruction was performed using the intracorporeal Billroth II method and an endo-GIA 60.Results Totally laparoscopic subtotal gastrectomy and trans-vaginal specimen extraction was successfully accomplished in all patients without intraoperative complications. Conclusions The present technique may be a safe and feasible operative procedure for some limited groups of elderly female patients with early gastric cancer.

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Partial gastrectomy using natural orifice translumenal endoscopic surgery (NOTES) for gastric submucosal tumors: early experience in humans

Abstract: Our initial experience with human transvaginal NOTES gastrectomy showed it to be feasible and safe for gastric SMTs. It is a complex but promising surgical alternative for female oncologic patients undergoing partial gastric resection.

Cited by 57 publications

References 12 publications

NOTES über den transvaginalen Zugang

NOTES über den transvaginalen Zugang

Recent Advances in Endoscopic and Laparoscopic Management of Gastric Malignancy: A Literature Review

Trans-vaginal specimen extraction following totally laparoscopic subtotal gastrectomy in early gastric cancer

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