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

研究成果: Contribution to journalReview article査読

13 被引用数 (Scopus)

抄録

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.

本文言語英語
ページ(範囲)251-254
ページ数4
ジャーナルSurgical Laparoscopy, Endoscopy and Percutaneous Techniques
22
3
DOI
出版ステータス出版済み - 6 2012
外部発表はい

All Science Journal Classification (ASJC) codes

  • Surgery

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