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Feasibility of the trans-umbilical route compared with the trans-oral route in gastric upper body endoscopic submucosal dissection: a porcine model
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  • 作者:Sang-Ho Jeong (1) (3) (4)
    Ji-Ho Park (1) (3) (4)
    Moon-Won Yoo (5) (6)
    Sang-Kyung Choi (1) (3) (4)
    Soon-Chan Hong (1) (3) (4)
    Eun-Jung Jung (1) (3) (4)
    Young-Tae Ju (1) (3) (4)
    Chi-Young Jeong (1) (3) (4)
    Woo-Song Ha (1) (3) (4)
    Chang Yoon Ha (2) (3) (4)
    Young-Joon Lee (1) (3) (4)
  • 关键词:Endoscopic submucosal dissection ; Single port surgery ; Gastric neoplasm ; Endoscope ; Laparoscopy ; Porcine
  • 刊名:Surgical Endoscopy
  • 出版年:2014
  • 出版时间:February 2014
  • 年:2014
  • 卷:28
  • 期:2
  • 页码:515-523
  • 全文大小:1,445 KB
  • 参考文献:1. Association JGC (2011) Japanese gastric cancer treatment guidelines (2010) (ver. 3). Gastric Cancer 14:113-23 CrossRef
    2. Kim SG (2009) Endoscopic resection of early gastric cancer. Korean J Gastroenterol 54:77-2 CrossRef
    3. Gotoda T, Yanagisawa A, Sasako M, Ono H, Nakanishi Y, Shimoda T, Kato Y (2000) Incidence of lymph node metastasis from early gastric cancer: estimation with a large number of cases at two large centers. Gastric Cancer 3:219-25 CrossRef
    4. Soetikno R, Kaltenbach T, Yeh R, Gotoda T (2005) Endoscopic mucosal resection for early cancers of the upper gastrointestinal tract. J Clin Oncol 23:4490-498 CrossRef
    5. Minami S, Gotoda T, Ono H, Oda I, Hamanaka H (2006) Complete endoscopic closure of gastric perforation induced by endoscopic resection of early gastric cancer using endoclips can prevent surgery (with video). Gastrointest Endosc 63:596-01 CrossRef
    6. Ohashi S (1995) Laparoscopic intraluminal (intragastric) surgery for early gastric cancer. A new concept in laparoscopic surgery. Surg Endosc 9:169-71 CrossRef
    7. Motson RW, Fisher PW, Dawson JW (1995) Laparoscopic resection of a benign intragastric stromal tumour. Br J Surg 82:1670 CrossRef
    8. Ibrahim IM, Silvestri F, Zingler B (1997) Laparoscopic resection of posterior gastric leiomyoma. Surg Endosc 11:277-79 CrossRef
    9. Wong DC, Wong SK, Leung AL, Chung CC, Li MK (2009) Combined endolaparoscopic intragastric excision for gastric neoplasms. J Laparoendosc Adv Surg Tech A 19:765-70 CrossRef
    10. Wu SD, Kong J, Su Y, Fan Y (2013) Safety and application of transumbilical single-incision laparoscopic gastrectomy for GIST:SILS in benign gastric disease. Surg Innov 20:365-69 CrossRef
    11. Morton DL, Wen DR, Wong JH, Economou JS, Cagle LA, Storm FK, Foshag LJ, Cochran AJ (1992) Technical details of intraoperative lymphatic mapping for early stage melanoma. Arch Surg 127:392-99 CrossRef
    12. Lee YJ, Ha WS, Park ST, Choi SK, Hong SC, Park JW (2008) Which biopsy method is more suitable between a basin dissection and pick-up biopsy for sentinel nodes in laparoscopic sentinel-node navigation surgery (LSNNS) for gastric cancer? J Laparoendosc Adv Surg Tech A 18:357-63 CrossRef
    13. Abe N, Mori T, Takeuchi H, Yoshida T, Ohki A, Ueki H, Yanagida O, Masaki T, Sugiyama M, Atomi Y (2005) Laparoscopic lymph node dissection after endoscopic submucosal dissection: a novel and minimally invasive approach to treating early-stage gastric cancer. Am J Surg 190:496-03 CrossRef
    14. Jeong SH, Lee YJ, Yoo MW, Park ST, Choi SK, Hong SC, Jung EJ, Ju YT, Jeong CY, Ha WS (2012) Comparison of hybrid natural orifice transluminal endoscopic surgery and single-port laparoscopic surgery for sentinel node basin dissection in a porcine model. J Laparoendosc Adv Surg Tech A 22:132-38 CrossRef
    15. Kamangar F, Dores GM, Anderson WF (2006) Patterns of cancer incidence, mortality, and prevalence across five continents: defining priorities to reduce cancer disparities in different geographic regions of the world. J Clin Oncol 24:2137-150 CrossRef
    16. Hanaoka N, Uedo N, Ishihara R, Higashino K, Takeuchi Y, Inoue T, Chatani R, Hanafusa M, Tsujii Y, Kanzaki H, Kawada N, Iishi H, Tatsuta M, Tomita Y, Miyashiro I, Yano M (2010) Clinical features and outcomes of delayed perforation after endoscopic submucosal dissection for early gastric cancer. Endoscopy 42:1112-115 CrossRef
    17. Oda I, Saito D, Tada M, Iishi H, Tanabe S, Oyama T, Doi T, Otani Y, Fujisaki J, Ajioka Y, Hamada T, Inoue H, Gotoda T, Yoshida S (2006) A multicenter retrospective study of endoscopic resection for early gastric cancer. Gastric Cancer 9:262-70 CrossRef
    18. Han TS, Kong SH, Lee HJ, Ahn HS, Hur K, Yu J, Kim WH, Yang HK (2011) Dissemination of free cancer cells from the gastric lumen and from perigastric lymphovascular pedicles during radical gastric cancer surgery. Ann Surg Oncol 18:2818-825 CrossRef
    19. Kilgore TL Jr, Turner MD, Hardy JD (1964) Clinical and experimental ischemia of the gastric remnant. Surg Gynecol Obstet 118:1312-316
    20. Kim HJ, Lee KH, Kim YH, Kim HH, Kim SH, Lee HJ, Choi JY (2007) Gastric remnant infarction following laparoscopy-assisted distal gastrectomy: CT diagnosis in two cases. Abdom Imaging 32:290-92 CrossRef
    21. Stadaas J, Aune S, Haffner JF (1974) Effects of proximal gastric vagotomy on intragastric pressure and adaptation in pigs. Scand J Gastroenterol 9:479-85
  • 作者单位:Sang-Ho Jeong (1) (3) (4)
    Ji-Ho Park (1) (3) (4)
    Moon-Won Yoo (5) (6)
    Sang-Kyung Choi (1) (3) (4)
    Soon-Chan Hong (1) (3) (4)
    Eun-Jung Jung (1) (3) (4)
    Young-Tae Ju (1) (3) (4)
    Chi-Young Jeong (1) (3) (4)
    Woo-Song Ha (1) (3) (4)
    Chang Yoon Ha (2) (3) (4)
    Young-Joon Lee (1) (3) (4)

    1. Department of Surgery, Gyeongsang National University, 90 Chilam-dong, Jinju, Gyeongsang South Province, 660-702, South Korea
    3. Gyeongnam Regional Cancer Center, Gyeongsang National University Hospital, Jinju, South Korea
    4. Institute of Health Sciences, Gyeongsang National University, Jinju, South Korea
    5. Department of Surgery, Konkuk University, Seoul, South Korea
    6. Department of Surgery, Asan Medical Center, Seoul, South Korea
    2. Department Internal Medicine of Postgraduate School of Medicine, Gyeongsang National University, 90 Chilam-dong, Jinju, Gyeongsang South Province, 660-702, South Korea
  • ISSN:1432-2218
文摘
Background Total gastrectomy is performed for early gastric cancer in the upper body of the stomach because of the high complication rate of endoscopic submucosal dissection (ESD). The aims of the present animal study in pigs were to verify: (1) the feasibility of the trans-umbilical route compared with the trans-oral route in gastric upper body ESD; (2) the non-inferiority of single port laparoscopic lymph node dissection (LLND) compared with multiport LLND; and (3) the safety of 2-basin LLND (upper greater and lesser curvature). Methods We separated the pigs (~40?kg each) into two groups: conventional and experimental (n?=?5 per group). We performed ESD in the fundus and upper body anterior wall (UBAW) via the trans-oral route and multiport LLND in the conventional group, and via the trans-umbilical route and single port LLND in the experimental group. Results The completion rates, tissue weights, and specimen diameters of both routes showed no statistical differences in either the fundus or the UBAW. The operative time was shorter with the trans-umbilical route than with the trans-oral route in both areas (p?<?0.05). In LLND, there were no differences in surgical outcomes between the multiport and single port groups. Intraoperative perforation was seen in the trans-oral route group (n?=?1). Delayed perforation was observed in 30?% of the ESD sites. Conclusions The trans-umbilical route is feasible and has lower complication rates than the trans-oral route in gastric upper body ESD. Additionally, single port LLND is not inferior to multiport LLND, and one-side-basin dissection is safer than two-side.

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