Laparoscopic intragastric surgery revisited: Its role for submucosal tumors adjacent to the esophagogastric junction

Johji Hara, Kiyokazu Nakajima, Tsuyoshi Takahashi, Makoto Yamasaki, Hiroshi Miyata, Yukinori Kurokawa, Shuji Takiguchi, Masaki Mori, Yuichiro Doki

Research output: Contribution to journalReview article

13 Citations (Scopus)

Abstract

PURPOSE:: When the gastric submucosal tumor (SMT) locates adjacent to the esophagogastric junction (EGJ), it is difficult to preserve EGJ technically and oncologically. In this study, we describe our clinical experience with laparoscopic intragastric surgery (LIGS) and discuss its role for gastric SMTs adjacent to EGJ. METHODS:: A retrospective review was performed on patients who underwent surgical treatment of gastric SMTs adjacent to EGJ (April 1994 to May 2010). They were divided into 3 groups: laparoscopic partial gastrectomy (LAP, n=10), LIGS (n=10), and open laparotomy (OPEN, n=7), respectively. RESULTS:: The completion rates were 50% in LAP and 90% in LIGS. Overall preservation rate of EGJ was 80% (LAP), 100% (LIGS), and 29% (OPEN), respectively. The patients who underwent total/proximal mastectomy showed significantly higher incidence of postoperative gastrointestinal symptoms, which required long-term medication. CONCLUSIONS:: LIGS stays as a valuable alternative and would be an attractive option for gastric SMTs adjacent to EGJ.

Original languageEnglish
Pages (from-to)251-254
Number of pages4
JournalSurgical Laparoscopy, Endoscopy and Percutaneous Techniques
Volume22
Issue number3
DOIs
Publication statusPublished - Jun 1 2012
Externally publishedYes

Fingerprint

Esophagogastric Junction
Laparoscopy
Stomach
Neoplasms
Simple Mastectomy
Gastrectomy
Laparotomy
Incidence

All Science Journal Classification (ASJC) codes

  • Surgery

Cite this

Laparoscopic intragastric surgery revisited : Its role for submucosal tumors adjacent to the esophagogastric junction. / Hara, Johji; Nakajima, Kiyokazu; Takahashi, Tsuyoshi; Yamasaki, Makoto; Miyata, Hiroshi; Kurokawa, Yukinori; Takiguchi, Shuji; Mori, Masaki; Doki, Yuichiro.

In: Surgical Laparoscopy, Endoscopy and Percutaneous Techniques, Vol. 22, No. 3, 01.06.2012, p. 251-254.

Research output: Contribution to journalReview article

Hara, Johji ; Nakajima, Kiyokazu ; Takahashi, Tsuyoshi ; Yamasaki, Makoto ; Miyata, Hiroshi ; Kurokawa, Yukinori ; Takiguchi, Shuji ; Mori, Masaki ; Doki, Yuichiro. / Laparoscopic intragastric surgery revisited : Its role for submucosal tumors adjacent to the esophagogastric junction. In: Surgical Laparoscopy, Endoscopy and Percutaneous Techniques. 2012 ; Vol. 22, No. 3. pp. 251-254.
@article{8d451f88e2e4426bb6a9740bc9f1370c,
title = "Laparoscopic intragastric surgery revisited: Its role for submucosal tumors adjacent to the esophagogastric junction",
abstract = "PURPOSE:: When the gastric submucosal tumor (SMT) locates adjacent to the esophagogastric junction (EGJ), it is difficult to preserve EGJ technically and oncologically. In this study, we describe our clinical experience with laparoscopic intragastric surgery (LIGS) and discuss its role for gastric SMTs adjacent to EGJ. METHODS:: A retrospective review was performed on patients who underwent surgical treatment of gastric SMTs adjacent to EGJ (April 1994 to May 2010). They were divided into 3 groups: laparoscopic partial gastrectomy (LAP, n=10), LIGS (n=10), and open laparotomy (OPEN, n=7), respectively. RESULTS:: The completion rates were 50{\%} in LAP and 90{\%} in LIGS. Overall preservation rate of EGJ was 80{\%} (LAP), 100{\%} (LIGS), and 29{\%} (OPEN), respectively. The patients who underwent total/proximal mastectomy showed significantly higher incidence of postoperative gastrointestinal symptoms, which required long-term medication. CONCLUSIONS:: LIGS stays as a valuable alternative and would be an attractive option for gastric SMTs adjacent to EGJ.",
author = "Johji Hara and Kiyokazu Nakajima and Tsuyoshi Takahashi and Makoto Yamasaki and Hiroshi Miyata and Yukinori Kurokawa and Shuji Takiguchi and Masaki Mori and Yuichiro Doki",
year = "2012",
month = "6",
day = "1",
doi = "10.1097/SLE.0b013e3182508083",
language = "English",
volume = "22",
pages = "251--254",
journal = "Surgical Laparoscopy, Endoscopy and Percutaneous Techniques",
issn = "1530-4515",
publisher = "Lippincott Williams and Wilkins",
number = "3",

}

TY - JOUR

T1 - Laparoscopic intragastric surgery revisited

T2 - Its role for submucosal tumors adjacent to the esophagogastric junction

AU - Hara, Johji

AU - Nakajima, Kiyokazu

AU - Takahashi, Tsuyoshi

AU - Yamasaki, Makoto

AU - Miyata, Hiroshi

AU - Kurokawa, Yukinori

AU - Takiguchi, Shuji

AU - Mori, Masaki

AU - Doki, Yuichiro

PY - 2012/6/1

Y1 - 2012/6/1

N2 - PURPOSE:: When the gastric submucosal tumor (SMT) locates adjacent to the esophagogastric junction (EGJ), it is difficult to preserve EGJ technically and oncologically. In this study, we describe our clinical experience with laparoscopic intragastric surgery (LIGS) and discuss its role for gastric SMTs adjacent to EGJ. METHODS:: A retrospective review was performed on patients who underwent surgical treatment of gastric SMTs adjacent to EGJ (April 1994 to May 2010). They were divided into 3 groups: laparoscopic partial gastrectomy (LAP, n=10), LIGS (n=10), and open laparotomy (OPEN, n=7), respectively. RESULTS:: The completion rates were 50% in LAP and 90% in LIGS. Overall preservation rate of EGJ was 80% (LAP), 100% (LIGS), and 29% (OPEN), respectively. The patients who underwent total/proximal mastectomy showed significantly higher incidence of postoperative gastrointestinal symptoms, which required long-term medication. CONCLUSIONS:: LIGS stays as a valuable alternative and would be an attractive option for gastric SMTs adjacent to EGJ.

AB - PURPOSE:: When the gastric submucosal tumor (SMT) locates adjacent to the esophagogastric junction (EGJ), it is difficult to preserve EGJ technically and oncologically. In this study, we describe our clinical experience with laparoscopic intragastric surgery (LIGS) and discuss its role for gastric SMTs adjacent to EGJ. METHODS:: A retrospective review was performed on patients who underwent surgical treatment of gastric SMTs adjacent to EGJ (April 1994 to May 2010). They were divided into 3 groups: laparoscopic partial gastrectomy (LAP, n=10), LIGS (n=10), and open laparotomy (OPEN, n=7), respectively. RESULTS:: The completion rates were 50% in LAP and 90% in LIGS. Overall preservation rate of EGJ was 80% (LAP), 100% (LIGS), and 29% (OPEN), respectively. The patients who underwent total/proximal mastectomy showed significantly higher incidence of postoperative gastrointestinal symptoms, which required long-term medication. CONCLUSIONS:: LIGS stays as a valuable alternative and would be an attractive option for gastric SMTs adjacent to EGJ.

UR - http://www.scopus.com/inward/record.url?scp=84862532866&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84862532866&partnerID=8YFLogxK

U2 - 10.1097/SLE.0b013e3182508083

DO - 10.1097/SLE.0b013e3182508083

M3 - Review article

C2 - 22678322

AN - SCOPUS:84862532866

VL - 22

SP - 251

EP - 254

JO - Surgical Laparoscopy, Endoscopy and Percutaneous Techniques

JF - Surgical Laparoscopy, Endoscopy and Percutaneous Techniques

SN - 1530-4515

IS - 3

ER -