Single-Incision Laparoscopic Intragastric Surgery for Gastric Submucosal Tumor Located Adjacent to Esophagogastric Junction: Report of Four Cases

Katsuyama, Shigeru; Nakajima, Kiyokazu; Kurokawa, Yukinori; Takahashi, Tsuyoshi; Miyazaki, Yasuhiro; Makino, Tomoki; Yamasaki, Makoto; Takiguchi, Shuji; Mori, Masaki; Doki, Yuichiro

doi:10.1089/lap.2017.0026

Cited by 10 publications

(3 citation statements)

References 18 publications

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“…In previous series, no conversion to conventional laparoscopy or open surgery was necessary nor were additional trocars. Postoperative complications occurred in 0-25% and were mostly intragastric and surgical site bleeding [31,32,35,36]. The operative time, number of used staplers, time to first oral intake, hospital stay, and complications were not significantly different from conventional laparoscopic wedge resection [33].…”

Section: Discussionmentioning

confidence: 95%

LaparoEndoscopic Single-Site Upper Gastrointestinal Surgery

Hamid¹,

Johnston²

2019

Recent Advances in Laparoscopic Surgery [Working Title]

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The evolution of minimally invasive surgery has led to the development of laparoendoscopic single-site (LESS) surgery. The feasibility of almost all types of LESS upper (GI) procedures has been shown. During the learning phase, substantial experience in both laparoscopy and upper GI surgery and stringent patient selection criteria is essential for successful and safe application of the technique, especially in complex procedures. Comparative studies between LESS and conventional laparoscopy for various upper GI procedures suggest a non-inferiority of LESS over standard laparoscopy, although the only objective benefit remains an improved cosmetic outcome. Intracorporeal instrument collision, lack of triangulation, and in-line vision are among the main challenges of LESS surgery. The current review provides a comprehensive report of the specific applications of LESS in upper GI surgery, with a special reference to advances made to overcome the current technical difficulties and future perspectives.

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Section: Discussionmentioning

confidence: 95%

LaparoEndoscopic Single-Site Upper Gastrointestinal Surgery

Hamid¹,

Johnston²

2019

Recent Advances in Laparoscopic Surgery [Working Title]

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“…Furthermore, Wang et al reported performing laparoscopic intragastric surgery for nine cases of cardiac endogenous stromal tumors, all of which resulted in no swallowing disorder or acid reflux symptoms upon follow-up, and therefore concluded that laparoscopic intragastric treatment was safe and feasible for endogenous EGJ-GISTs (28). In addition, techniques such as percutaneous endoscopic intragastric surgery (29) and Single-Incision Laparoscopic Intragastric Surgery (30) have also been reported as safe and feasible for treatment of EGJ-GISTs.…”

Section: Discussionmentioning

confidence: 99%

Nomogram for Predicting Risk of Esophagogastric Junction (EGJ) Resection During Laparoscopic Resection of Gastrointestinal Stromal Tumors in EGJ: A Retrospective Multicenter Study

Luo

Feng

et al. 2021

Front. Surg.

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Background: The established criteria for determining whether to excise the cardia during laparoscopic surgery for gastrointestinal stromal tumors in the esophagogastric junction (EGJ-GISTs) remain controversial. This retrospective multicenter study was conducted to develop a nomogram for predicting the risk of the cardia excision during laparoscopic surgery for EGJ-GISTs.Material and Methods: We reviewed data from 2,127 gastric-GISTs (g-GISTs) patients without distant metastases in four hospital between June 2012 and June 2020. Of those, according to the including criteria, 184 patients [Guangdong Provincial Hospital of Chinese Medicine (n = 81), Nanfang Hospital of Southern Medical University (n = 60), Guangdong General Hospital (n = 34), and The Third Affiliated Hospital of Southern Medical University (n = 9)] with EGJ-GISTs were identified and included in this study. Factors contributing to risk of cardia excision were identified and used to create a nomogram. Nomogram performance was assessed using a bootstrapped concordance index (c-index) and calibration plots.Results: According to the multivariate analysis, the distance from the margin of the tumor to the esophagogastric line (EG-line) (cm) (OR = 0.001, 95% CI: 0.00001~0.056, P = 0.001) and tumor size (cm) (OR = 14.969, 95% CI: 1.876~119.410, P = 0.011) were significantly related to likelihood of cardia structure excision in laparoscopic surgery for EGJ-GISTs. These two factors were used to generate a nomogram for predicting risk of cardia excision using a logistic regression model; a bootstrapped C-index of 0.988 (calibrated C-index = 0.987) indicated strong predictive ability, with broad calibration.Conclusions: This nomogram based on distance from tumor margin to EG-line and tumor size may serve as a tool for predicting risk of cardia damage during laparoscopic removal of EGJ-GISTs to aid in selection of surgical methods and preoperative neoadjuvant therapy.

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“…The indications for sLIGS were parallel to those of the routine LIGS technique. Of note, single incisions often correlated with higher perioperative security and decreased complications (157)(158)(159)(160). Researches of LIGS technique are summarized in Table 10.…”

Section: Endoscope-assisted Laparoscopic Intragastric Surgerymentioning

confidence: 99%

Advances of endoscopic and surgical management in gastrointestinal stromal tumors

2023

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As one of the most common mesenchymal malignancies in the digestive system, gastrointestinal stromal tumors (GISTs) occur throughout the alimentary tract with diversified oncological characteristics. With the advent of the tyrosine kinase inhibitor era, the treatment regimens of patients with GISTs have been revolutionized and GISTs have become the paradigm of multidisciplinary therapy. However, surgery resection remains recognized as the potentially curative management for the radical resection and provided with favorable oncological outcomes. The existing available surgery algorithms in clinical practice primarily incorporate open procedure, and endoscopic and laparoscopic surgery together with combined operation techniques. The performance of various surgery methods often refers to the consideration of risk evaluation of recurrence and metastases; the degree of disease progression; size, location, and growth pattern of tumor; general conditions of selected patients; and indications and safety profile of various techniques. In the present review, we summarize the fundamental principle of surgery of GISTs based on risk assessment as well as tumor size, location, and degree of progress with an emphasis on the indications, strengths, and limitations of current surgery techniques.

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Single-Incision Laparoscopic Intragastric Surgery for Gastric Submucosal Tumor Located Adjacent to Esophagogastric Junction: Report of Four Cases

Abstract: sLIGS is a safe, realistic, and potentially effective procedure for gastric SMTs adjacent to the EGJ.

Cited by 10 publications

References 18 publications

LaparoEndoscopic Single-Site Upper Gastrointestinal Surgery

LaparoEndoscopic Single-Site Upper Gastrointestinal Surgery

Nomogram for Predicting Risk of Esophagogastric Junction (EGJ) Resection During Laparoscopic Resection of Gastrointestinal Stromal Tumors in EGJ: A Retrospective Multicenter Study

Advances of endoscopic and surgical management in gastrointestinal stromal tumors

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