Successful Laparoscopic Gastric Resection and Safe Introduction of a Single-incision Technique for Gastric Submucosal Tumors Located Near the Esophagogastric Junction

Overview

Journal Surg Today

Specialty General Surgery

Date 2014 May 31

PMID 24875467

Citations 2

Authors

Shingo Kanaji

Tetsu Nakamura

Masashi Yamamoto

Tatsuya Imanishi

Satoshi Suzuki

Kenichi Tanaka

Daisuke Kuroda

Yoshihiro Kakeji

Affiliations

Soon will be listed here.

Abstract

Purpose: Laparoscopic gastric resection cannot be easily applied for submucosal tumors near the esophagogastric junction (NEJ-SMTs). Furthermore, there have been no reports of single-incision laparoscopic surgery (SILS) for NEJ-SMTs. We evaluated our laparoscopic surgical outcomes for NEJ-SMTs, including a newly introduced phase of SILS.

Methods: We retrospectively reviewed a total of 18 patients diagnosed with NEJ-SMTs who underwent laparoscopic surgery between April 2002 and September 2013.

Results: All patients underwent laparoscopic gastric resection without local complications and with a negative surgical margin, including 12 patients treated with conventional laparoscopic surgery (CLS) and six patients treated with SILS. The mean length of the operation was 184.3 ± 52.3 min, and the mean blood loss was 19.2 ± 17.7 mL. All patients underwent complete resection. There were no statistically significant differences between the CLS and SILS groups in terms of the surgical outcomes.

Conclusion: Despite this challenging location of the tumor, laparoscopic gastric resection for NEJ-SMTs is safe and feasible. Furthermore, SILS can provide a better cosmetic result, which can lead to better global patient satisfaction in carefully selected patients with NEJ-SMTs.

Citing Articles

Is single incision laparoscopic surgery (SILS) for gastric gastrointestinal stromal tumor (GIST) dependent on the location of the tumor?.

Seo J, Park K, Chin H, Jun K BMC Surg. 2023; 23(1):247.

PMID: 37605202 PMC: 10441706. DOI: 10.1186/s12893-023-02141-0.

Evaluation of the result of single-incision laparoscopic surgery for gastrointestinal stromal tumors in the stomach.

Tatara T, Kanaji S, Suzuki S, Ishida R, Hasegawa H, Yamamoto M Surg Case Rep. 2019; 5(1):50.

PMID: 30927094 PMC: 6441062. DOI: 10.1186/s40792-019-0605-x.

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