Laparoscopic gastrectomy after incomplete endoscopic resection for early gastric cancer. 2012

Hironori Tsujimoto, and Yoshihisa Yaguchi, and Isao Kumano, and Risa Takahata, and Yusuke Matsumoto, and Kazumichi Yoshida, and Hiroyuki Horiguchi, and Suefumi Aosasa, and Satoshi Ono, and Junji Yamamoto, and Kazuo Hase
Department of Surgery, National Defense Medical College, Tokorozawa 359-8513, Japan. tsujihi@ndmc.ac.jp

Endoscopic submucosal dissection (ESD) utilizes electrical coagulation, which can cause burns, fibrosis and adhesion of the stomach and surrounding tissue; these complications might increase the surgical difficulties for subsequent laparoscopy-assisted gastrectomy (LAG) and the risk of complications. However, scarce data are available on the influence of previous ESD on LAG. The purpose of this study was to evaluate the feasibility and safety of LAG following incomplete ESD in patients with early gastric cancer. Ninety-seven patients who underwent LAG were analyzed retrospectively; 17 patients had undergone ESD previously and the remaining 80 patients had no history of ESD. Clinicopathological data and surgical outcomes were compared between the two groups. No differences were observed in surgical outcomes of LAG after ESD in terms of operation time, intraoperative blood loss, total number of harvested lymph nodes, time until start of flatus, and postoperative hospital stay. These results were not influenced by tumor location and operative procedures. In conclusion, in terms of surgical outcomes, LAG is a safe and feasible procedure for the treatment of early gastric cancer regardless of previous endoscopic treatment. LAG may be the first-choice radical treatment after incomplete ESD for early gastric cancer.

UI MeSH Term Description Entries
D008197 Lymph Node Excision Surgical excision of one or more lymph nodes. Its most common use is in cancer surgery. (From Dorland, 28th ed, p966) Lymph Node Dissection,Lymphadenectomy,Dissection, Lymph Node,Dissections, Lymph Node,Excision, Lymph Node,Excisions, Lymph Node,Lymph Node Dissections,Lymph Node Excisions,Lymphadenectomies,Node Dissection, Lymph,Node Dissections, Lymph
D008198 Lymph Nodes They are oval or bean shaped bodies (1 - 30 mm in diameter) located along the lymphatic system. Lymph Node,Node, Lymph,Nodes, Lymph
D008297 Male Males
D009364 Neoplasm Recurrence, Local The local recurrence of a neoplasm following treatment. It arises from microscopic cells of the original neoplasm that have escaped therapeutic intervention and later become clinically visible at the original site. Local Neoplasm Recurrence,Local Neoplasm Recurrences,Locoregional Neoplasm Recurrence,Neoplasm Recurrence, Locoregional,Neoplasm Recurrences, Local,Recurrence, Local Neoplasm,Recurrence, Locoregional Neoplasm,Recurrences, Local Neoplasm,Locoregional Neoplasm Recurrences,Neoplasm Recurrences, Locoregional,Recurrences, Locoregional Neoplasm
D010535 Laparoscopy A procedure in which a laparoscope (LAPAROSCOPES) is inserted through a small incision near the navel to examine the abdominal and pelvic organs in the PERITONEAL CAVITY. If appropriate, biopsy or surgery can be performed during laparoscopy. Celioscopy,Laparoscopic Surgical Procedures,Peritoneoscopy,Surgical Procedures, Laparoscopic,Laparoscopic Assisted Surgery,Laparoscopic Surgery,Laparoscopic Surgical Procedure,Procedure, Laparoscopic Surgical,Procedures, Laparoscopic Surgical,Surgery, Laparoscopic,Surgical Procedure, Laparoscopic,Celioscopies,Laparoscopic Assisted Surgeries,Laparoscopic Surgeries,Laparoscopies,Peritoneoscopies,Surgeries, Laparoscopic,Surgeries, Laparoscopic Assisted,Surgery, Laparoscopic Assisted
D005240 Feasibility Studies Studies to determine the advantages or disadvantages, practicability, or capability of accomplishing a projected plan, study, or project. Feasibility Study,Studies, Feasibility,Study, Feasibility
D005260 Female Females
D005743 Gastrectomy Excision of the whole (total gastrectomy) or part (subtotal gastrectomy, partial gastrectomy, gastric resection) of the stomach. (Dorland, 28th ed) Gastrectomies
D005753 Gastric Mucosa Lining of the STOMACH, consisting of an inner EPITHELIUM, a middle LAMINA PROPRIA, and an outer MUSCULARIS MUCOSAE. The surface cells produce MUCUS that protects the stomach from attack by digestive acid and enzymes. When the epithelium invaginates into the LAMINA PROPRIA at various region of the stomach (CARDIA; GASTRIC FUNDUS; and PYLORUS), different tubular gastric glands are formed. These glands consist of cells that secrete mucus, enzymes, HYDROCHLORIC ACID, or hormones. Cardiac Glands,Gastric Glands,Pyloric Glands,Cardiac Gland,Gastric Gland,Gastric Mucosas,Gland, Cardiac,Gland, Gastric,Gland, Pyloric,Glands, Cardiac,Glands, Gastric,Glands, Pyloric,Mucosa, Gastric,Mucosas, Gastric,Pyloric Gland
D005773 Gastroscopy Endoscopic examination, therapy or surgery of the interior of the stomach. Gastroscopic Surgical Procedures,Surgical Procedures, Gastroscopic,Gastroscopic Surgery,Surgery, Gastroscopic,Gastroscopic Surgeries,Gastroscopic Surgical Procedure,Gastroscopies,Procedure, Gastroscopic Surgical,Procedures, Gastroscopic Surgical,Surgeries, Gastroscopic,Surgical Procedure, Gastroscopic

Related Publications

Hironori Tsujimoto, and Yoshihisa Yaguchi, and Isao Kumano, and Risa Takahata, and Yusuke Matsumoto, and Kazumichi Yoshida, and Hiroyuki Horiguchi, and Suefumi Aosasa, and Satoshi Ono, and Junji Yamamoto, and Kazuo Hase
January 2015, International surgery,
Hironori Tsujimoto, and Yoshihisa Yaguchi, and Isao Kumano, and Risa Takahata, and Yusuke Matsumoto, and Kazumichi Yoshida, and Hiroyuki Horiguchi, and Suefumi Aosasa, and Satoshi Ono, and Junji Yamamoto, and Kazuo Hase
February 2017, Medicine,
Hironori Tsujimoto, and Yoshihisa Yaguchi, and Isao Kumano, and Risa Takahata, and Yusuke Matsumoto, and Kazumichi Yoshida, and Hiroyuki Horiguchi, and Suefumi Aosasa, and Satoshi Ono, and Junji Yamamoto, and Kazuo Hase
July 2016, Clinical endoscopy,
Hironori Tsujimoto, and Yoshihisa Yaguchi, and Isao Kumano, and Risa Takahata, and Yusuke Matsumoto, and Kazumichi Yoshida, and Hiroyuki Horiguchi, and Suefumi Aosasa, and Satoshi Ono, and Junji Yamamoto, and Kazuo Hase
January 2007, Surgery today,
Hironori Tsujimoto, and Yoshihisa Yaguchi, and Isao Kumano, and Risa Takahata, and Yusuke Matsumoto, and Kazumichi Yoshida, and Hiroyuki Horiguchi, and Suefumi Aosasa, and Satoshi Ono, and Junji Yamamoto, and Kazuo Hase
January 2005, Gastric cancer : official journal of the International Gastric Cancer Association and the Japanese Gastric Cancer Association,
Hironori Tsujimoto, and Yoshihisa Yaguchi, and Isao Kumano, and Risa Takahata, and Yusuke Matsumoto, and Kazumichi Yoshida, and Hiroyuki Horiguchi, and Suefumi Aosasa, and Satoshi Ono, and Junji Yamamoto, and Kazuo Hase
August 2007, Surgical endoscopy,
Hironori Tsujimoto, and Yoshihisa Yaguchi, and Isao Kumano, and Risa Takahata, and Yusuke Matsumoto, and Kazumichi Yoshida, and Hiroyuki Horiguchi, and Suefumi Aosasa, and Satoshi Ono, and Junji Yamamoto, and Kazuo Hase
September 2013, Anticancer research,
Hironori Tsujimoto, and Yoshihisa Yaguchi, and Isao Kumano, and Risa Takahata, and Yusuke Matsumoto, and Kazumichi Yoshida, and Hiroyuki Horiguchi, and Suefumi Aosasa, and Satoshi Ono, and Junji Yamamoto, and Kazuo Hase
July 2005, Surgical endoscopy,
Hironori Tsujimoto, and Yoshihisa Yaguchi, and Isao Kumano, and Risa Takahata, and Yusuke Matsumoto, and Kazumichi Yoshida, and Hiroyuki Horiguchi, and Suefumi Aosasa, and Satoshi Ono, and Junji Yamamoto, and Kazuo Hase
May 2014, World journal of gastrointestinal pathophysiology,
Hironori Tsujimoto, and Yoshihisa Yaguchi, and Isao Kumano, and Risa Takahata, and Yusuke Matsumoto, and Kazumichi Yoshida, and Hiroyuki Horiguchi, and Suefumi Aosasa, and Satoshi Ono, and Junji Yamamoto, and Kazuo Hase
July 2019, Asian journal of endoscopic surgery,
Copied contents to your clipboard!