Transgastrostomal endoscopic surgery for early gastric carcinoma and submucosal tumor

Yamashita, Yuichi; Maekawa, Takafumi; Sakai, Toshimi; Shirakusa, Takayuki

doi:10.1007/s004649900990

Cited by 30 publications

(14 citation statements)

References 7 publications

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“…There are several new devices, such as the expandable sleeve [21], which can be used instead of forceps with a balloon, to provide the necessary easy access. Yamashita et al used a Buess-type endoscope to resect the lesion with the fullthickness wall from the gastric lumen [25].…”

Section: Indicationsmentioning

confidence: 99%

Current status of laparoscopic gastrectomy for cancer in Japan

2004

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Because of the increased incidence of early gastric cancer in Japan, minimally invasive laparoscopic approaches to gastric malignancies have been under development since 1991. Laparoscopic local resection of the stomach, i.e., laparoscopic wedge resection (LWR) and intragastric mucosal resection (IGMR), is used to treat mucosal cancer without lymph node metastasis. Laparoscopy-assisted distal gastrectomy (LADG) is used to treat early gastric cancer with risk factors for regional lymph node metastasis. A survey conducted by the Japan Society for Endoscopic Surgery showed that 1428 LWRs, 260 IGMRs, and 2600 LADGs were performed between 1991 and 2001 in departments of endoscopic surgery in Japan. Laparoscopic gastrectomy for gastric cancer is still under development in Japan. According to short-term results reported by a small group of surgeons, laparoscopic approaches to gastric cancer provide for minimal invasion, early recovery, and decreased morbidity and mortality. If the advantages can be confirmed in one or more multicenter randomized control studies of the long-term outcome of patients undergoing laparoscopic gastrectomy for gastric cancer, the procedure should come into wide acceptance and use.

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Section: Indicationsmentioning

confidence: 99%

Current status of laparoscopic gastrectomy for cancer in Japan

2004

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“…Gastric mucosal resection can be done using laparoscopic instruments through abdominal and gastric wall [88]or by Buess-type scope inserted through small laparotomy and gastrotomy [89]. Lesions located on the posterior wall of the upper stomach, which are difficult to resect endoscopically, are candidates for this approach.…”

Section: Surgical Proceduresmentioning

confidence: 99%

Modern Treatment of Early Gastric Cancer: Review of the Japanese Experience

Adachi

Shiraishi²,

Kitano³

2002

Dig Surg

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Background: Recently, detections of early gastric cancer (EGC) have been increasing, and the treatment strategies for gastric cancer have been changing. To demonstrate recent clinical experience of EGC in Japan and to assess modern strategies for the treatment of EGC, we investigated the English-language literature of the past 10 years through computer searches. Methods: This article intends to provide gastric surgeons with recent Japanese experience of the treatment for EGC. In a search for modern treatments of EGC, we selected 100 papers published in well-known medical journals, and focused on the following items of EGC: (1) prognostic factors, (2) endoscopic treatment, (3) surgical procedures, and (4) Japanese guidelines. Results: The most important factor influencing the survival of patients with EGC is the status of lymph node metastasis. The incidence of lymph node metastasis is 1–3% for mucosal cancers and 11–20% for submucosal cancers. Endoscopic mucosal resection (EMR) is a technique for the treatment of EGC, and the recent indication includes the tumors confined to the mucosa up to 3 cm in size or those invading the superficial submucosa. Surgical procedures include conventional Billroth I gastrectomy, limited resections, and laparoscopic surgery. Laparoscopic wedge resection using the lesion-lifting method and laparoscopy-assisted distal gastrectomy provide less pain, faster recovery and shorter hospital stay. Guidelines for the treatment of gastric cancer proposed by the Japanese Gastric Cancer Association show that patients with mucosal cancer can be managed by EMR or distal gastrectomy, whereas patients with submucosal cancer are candidates for distal gastrectomy with lymph node dissection. Conclusion: Although the prognosis of patients with EGC depends on the presence or absence of lymph node metastasis, most are successfully treated by modern endoscopic or surgical techniques. Laparoscopic surgery and limited resections will contribute to the better quality of life of patients with EGC.

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“…Neben der offenen Resektion gibt es Berichte über kombiniert laparoskopischendoskopische und rein endoskopische Resektionsverfahren [5,16,29]. Symptomatisches heterotopes Pankreasgewebe sollte immer reseziert werden.…”

Section: Therapeutische Empfehlungenunclassified

Heterotopes Pankreasgewebe der Magenwand

Boehm

Moenig

Thul

et al. 2003

Chirurg

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Heterotopic pancreas is an uncommon cause of gastrointestinal complaints such as epigastric pain, nausea, vomiting, and upper gastrointestinal bleeding. Despite the development of modern diagnostic procedures, it is still difficult to differentiate heterotopic pancreatic tissue from other benign or malignant gastric tumors. Local excision of the gastric wall is regarded as the diagnostic and therapeutic procedure of choice. We present two cases and an overview of the literature.

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Transgastrostomal endoscopic surgery for early gastric carcinoma and submucosal tumor

Abstract: Transgastrostomal endoscopic surgery is minimally invasive and an efficient tissue-preserving technique for the removal of early gastric carcinoma or submucosal tumor.

Cited by 30 publications

References 7 publications

Current status of laparoscopic gastrectomy for cancer in Japan

Current status of laparoscopic gastrectomy for cancer in Japan

Modern Treatment of Early Gastric Cancer: Review of the Japanese Experience

Heterotopes Pankreasgewebe der Magenwand

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