[Laparoscopic partial gastrectomy for gastric submucosal tumor-indications and limitations of single-incision laparoscopic surgery].

Tomohisa Egawa, Takeshi Kenmochi, Tomoyuki Irino, Koki Mihara, Akihiko Okamura, Eiichi Eto, Yusaku Inaba, Masaaki Murakawa, Kenki Segami, Yasuhiro Ito, Atsushi Nagashima

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

Because gastric submucosal tumors can be treated by local resection without lymph-node dissection, laparoscopic local resection is widely used to manage relatively small tumors less than 5 cm in diameter. On the other hand, single-incision laparoscopic surgery (SILS) to perform laparoscopic cholecystectomy was feasible. SILS requires only a single incision in the umbilical region; it has better cosmetic outcomes than conventional laparoscopic surgery. The relative difficulty and ease of local gastric resection depends to a large part on tumor location and morphologic characteristics. Extraluminal submucosal tumor of the stomach can be locally resected by SILS using an automated suturing device regardless of tumor location. Intraluminal tumor located in the greater curvature of the gastric body can be treated by SILS, whereas intraluminal lesions located in the lesser curvature and near the gastric cardia or pylorus are difficult to manage by SILS. Laparoscopic and endoscopic cooperative surgery (LECS) is useful for resecting an appropriate amount of tissue at any site. In patients with lesions located near the gastric cardia or pylorus, closure with an automatic suture device may be difficult. Such patients should be switched to reduced-port surgery with a coaxial port, and hand-sewn closure is useful.

Original languageEnglish
Pages (from-to)1960-1962
Number of pages3
JournalGan to kagaku ryoho. Cancer & chemotherapy
Volume38
Issue number12
Publication statusPublished - 2011 Jan 1
Externally publishedYes

Fingerprint

Gastrectomy
Laparoscopy
Stomach
Neoplasms
Cardia
Pylorus
Umbilicus
Equipment and Supplies
Laparoscopic Cholecystectomy
Lymph Node Excision
Cosmetics
Sutures
Hand

ASJC Scopus subject areas

  • Oncology
  • Cancer Research

Cite this

Egawa, T., Kenmochi, T., Irino, T., Mihara, K., Okamura, A., Eto, E., ... Nagashima, A. (2011). [Laparoscopic partial gastrectomy for gastric submucosal tumor-indications and limitations of single-incision laparoscopic surgery]. Gan to kagaku ryoho. Cancer & chemotherapy, 38(12), 1960-1962.

[Laparoscopic partial gastrectomy for gastric submucosal tumor-indications and limitations of single-incision laparoscopic surgery]. / Egawa, Tomohisa; Kenmochi, Takeshi; Irino, Tomoyuki; Mihara, Koki; Okamura, Akihiko; Eto, Eiichi; Inaba, Yusaku; Murakawa, Masaaki; Segami, Kenki; Ito, Yasuhiro; Nagashima, Atsushi.

In: Gan to kagaku ryoho. Cancer & chemotherapy, Vol. 38, No. 12, 01.01.2011, p. 1960-1962.

Research output: Contribution to journalArticle

Egawa, T, Kenmochi, T, Irino, T, Mihara, K, Okamura, A, Eto, E, Inaba, Y, Murakawa, M, Segami, K, Ito, Y & Nagashima, A 2011, '[Laparoscopic partial gastrectomy for gastric submucosal tumor-indications and limitations of single-incision laparoscopic surgery].', Gan to kagaku ryoho. Cancer & chemotherapy, vol. 38, no. 12, pp. 1960-1962.
Egawa, Tomohisa ; Kenmochi, Takeshi ; Irino, Tomoyuki ; Mihara, Koki ; Okamura, Akihiko ; Eto, Eiichi ; Inaba, Yusaku ; Murakawa, Masaaki ; Segami, Kenki ; Ito, Yasuhiro ; Nagashima, Atsushi. / [Laparoscopic partial gastrectomy for gastric submucosal tumor-indications and limitations of single-incision laparoscopic surgery]. In: Gan to kagaku ryoho. Cancer & chemotherapy. 2011 ; Vol. 38, No. 12. pp. 1960-1962.
@article{fcedb8bfe35c42c7bda40d3411a04b37,
title = "[Laparoscopic partial gastrectomy for gastric submucosal tumor-indications and limitations of single-incision laparoscopic surgery].",
abstract = "Because gastric submucosal tumors can be treated by local resection without lymph-node dissection, laparoscopic local resection is widely used to manage relatively small tumors less than 5 cm in diameter. On the other hand, single-incision laparoscopic surgery (SILS) to perform laparoscopic cholecystectomy was feasible. SILS requires only a single incision in the umbilical region; it has better cosmetic outcomes than conventional laparoscopic surgery. The relative difficulty and ease of local gastric resection depends to a large part on tumor location and morphologic characteristics. Extraluminal submucosal tumor of the stomach can be locally resected by SILS using an automated suturing device regardless of tumor location. Intraluminal tumor located in the greater curvature of the gastric body can be treated by SILS, whereas intraluminal lesions located in the lesser curvature and near the gastric cardia or pylorus are difficult to manage by SILS. Laparoscopic and endoscopic cooperative surgery (LECS) is useful for resecting an appropriate amount of tissue at any site. In patients with lesions located near the gastric cardia or pylorus, closure with an automatic suture device may be difficult. Such patients should be switched to reduced-port surgery with a coaxial port, and hand-sewn closure is useful.",
author = "Tomohisa Egawa and Takeshi Kenmochi and Tomoyuki Irino and Koki Mihara and Akihiko Okamura and Eiichi Eto and Yusaku Inaba and Masaaki Murakawa and Kenki Segami and Yasuhiro Ito and Atsushi Nagashima",
year = "2011",
month = "1",
day = "1",
language = "English",
volume = "38",
pages = "1960--1962",
journal = "Japanese Journal of Cancer and Chemotherapy",
issn = "0385-0684",
publisher = "Japanese Journal of Cancer and Chemotherapy Publishers Inc.",
number = "12",

}

TY - JOUR

T1 - [Laparoscopic partial gastrectomy for gastric submucosal tumor-indications and limitations of single-incision laparoscopic surgery].

AU - Egawa, Tomohisa

AU - Kenmochi, Takeshi

AU - Irino, Tomoyuki

AU - Mihara, Koki

AU - Okamura, Akihiko

AU - Eto, Eiichi

AU - Inaba, Yusaku

AU - Murakawa, Masaaki

AU - Segami, Kenki

AU - Ito, Yasuhiro

AU - Nagashima, Atsushi

PY - 2011/1/1

Y1 - 2011/1/1

N2 - Because gastric submucosal tumors can be treated by local resection without lymph-node dissection, laparoscopic local resection is widely used to manage relatively small tumors less than 5 cm in diameter. On the other hand, single-incision laparoscopic surgery (SILS) to perform laparoscopic cholecystectomy was feasible. SILS requires only a single incision in the umbilical region; it has better cosmetic outcomes than conventional laparoscopic surgery. The relative difficulty and ease of local gastric resection depends to a large part on tumor location and morphologic characteristics. Extraluminal submucosal tumor of the stomach can be locally resected by SILS using an automated suturing device regardless of tumor location. Intraluminal tumor located in the greater curvature of the gastric body can be treated by SILS, whereas intraluminal lesions located in the lesser curvature and near the gastric cardia or pylorus are difficult to manage by SILS. Laparoscopic and endoscopic cooperative surgery (LECS) is useful for resecting an appropriate amount of tissue at any site. In patients with lesions located near the gastric cardia or pylorus, closure with an automatic suture device may be difficult. Such patients should be switched to reduced-port surgery with a coaxial port, and hand-sewn closure is useful.

AB - Because gastric submucosal tumors can be treated by local resection without lymph-node dissection, laparoscopic local resection is widely used to manage relatively small tumors less than 5 cm in diameter. On the other hand, single-incision laparoscopic surgery (SILS) to perform laparoscopic cholecystectomy was feasible. SILS requires only a single incision in the umbilical region; it has better cosmetic outcomes than conventional laparoscopic surgery. The relative difficulty and ease of local gastric resection depends to a large part on tumor location and morphologic characteristics. Extraluminal submucosal tumor of the stomach can be locally resected by SILS using an automated suturing device regardless of tumor location. Intraluminal tumor located in the greater curvature of the gastric body can be treated by SILS, whereas intraluminal lesions located in the lesser curvature and near the gastric cardia or pylorus are difficult to manage by SILS. Laparoscopic and endoscopic cooperative surgery (LECS) is useful for resecting an appropriate amount of tissue at any site. In patients with lesions located near the gastric cardia or pylorus, closure with an automatic suture device may be difficult. Such patients should be switched to reduced-port surgery with a coaxial port, and hand-sewn closure is useful.

UR - http://www.scopus.com/inward/record.url?scp=84858856121&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84858856121&partnerID=8YFLogxK

M3 - Article

VL - 38

SP - 1960

EP - 1962

JO - Japanese Journal of Cancer and Chemotherapy

JF - Japanese Journal of Cancer and Chemotherapy

SN - 0385-0684

IS - 12

ER -