Clinical Endoscopy

The Korean Society of Gastrointestinal Endoscopy (대한소화기내시경학회)
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Endoscopic Full-Thickness Resection Combined with Laparoscopic Surgery

  • Received : 2017.09.21
  • Accepted : 2017.11.30
  • Published : 2018.01.30
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Abstract

Endoscopic full-thickness resection combined with laparoscopic surgery was recently developed. These procedures could be categorized as "Cut first and then suture" and "Suture first and then cut". "Cut first and then suture" includes laparoscopic and endoscopic cooperative surgery (LECS) and laparoscopy-assisted endoscopic full-thickness resection (LAEFR). Recent studies have demonstrated the safety and efficacy of LECS and LAEFR. However, these techniques are limited by the related exposure of the tumor and gastric mucosa to the peritoneal cavity and manipulation of these organs, which could lead to viable cancer cell seeding and the spillage of gastric juice into the peritoneal cavity. In the "Suture first and then cut" technique, the serosal side of the stomach is sutured to invert the stomach and subsequently endoscopic resection is performed. In this article, details of these techniques, including their advantages and limitations, are described.

Keywords

Acknowledgement

Supported by : National Cancer Center

References

  1. Schlag C, Wilhelm D, von Delius S, Feussner H, Meining A. EndoResect study: endoscopic full-thickness resection of gastric subepithelial tumors. Endoscopy 2013;45:4-11.
  2. Shi Q, Chen T, Zhong YS, et al. Complete closure of large gastric defects after endoscopic full-thickness resection, using endoloop and metallic clip interrupted suture. Endoscopy 2013;45:329-334. https://doi.org/10.1055/s-0032-1326214
  3. Zhou PH, Yao LQ, Qin XY, et al. Endoscopic full-thickness resection without laparoscopic assistance for gastric submucosal tumors originated from the muscularis propria. Surg Endosc 2011;25:2926-2931. https://doi.org/10.1007/s00464-011-1644-y
  4. Kim CG. Natural orifice transluminal endoscopic surgery and upper gastrointestinal tract. J Gastric Cancer 2013;13:199-206. https://doi.org/10.5230/jgc.2013.13.4.199
  5. Hiki N, Yamamoto Y, Fukunaga T, et al. Laparoscopic and endoscopic cooperative surgery for gastrointestinal stromal tumor dissection. Surg Endosc 2008;22:1729-1735. https://doi.org/10.1007/s00464-007-9696-8
  6. Abe N, Mori T, Takeuchi H, et al. Successful treatment of early stage gastric cancer by laparoscopy-assisted endoscopic full-thickness resection with lymphadenectomy. Gastrointest Endosc 2008;68:1220-1224. https://doi.org/10.1016/j.gie.2008.02.077
  7. Abe N, Takeuchi H, Yanagida O, et al. Endoscopic full-thickness resection with laparoscopic assistance as hybrid NOTES for gastric submucosal tumor. Surg Endosc 2009;23:1908-1913. https://doi.org/10.1007/s00464-008-0317-y
  8. Cho WY, Kim YJ, Cho JY, et al. Hybrid natural orifice transluminal endoscopic surgery: endoscopic full-thickness resection of early gastric cancer and laparoscopic regional lymph node dissection--14 human cases. Endoscopy 2011;43:134-139. https://doi.org/10.1055/s-0030-1255955
  9. Tsujimoto H, Yaguchi Y, Kumano I, Takahata R, Ono S, Hase K. Successful gastric submucosal tumor resection using laparoscopic and endoscopic cooperative surgery. World J Surg 2012;36:327-330. https://doi.org/10.1007/s00268-011-1387-x
  10. Nunobe S, Hiki N, Gotoda T, et al. Successful application of laparoscopic and endoscopic cooperative surgery (LECS) for a lateral-spreading mucosal gastric cancer. Gastric Cancer 2012;15:338-342. https://doi.org/10.1007/s10120-012-0146-5
  11. Hur H, Lim SG, Byun C, et al. Laparoscopy-assisted endoscopic full-thickness resection with basin lymphadenectomy based on sentinel lymph nodes for early gastric cancer. J Am Coll Surg 2014;219:e29-e37.
  12. Kwon OK, Yu W. Endoscopic and laparoscopic full-thickness resection of endophytic gastric submucosal tumors very close to the esophagogastric junction. J Gastric Cancer 2015;15:278-285. https://doi.org/10.5230/jgc.2015.15.4.278
  13. Matsuda T, Hiki N, Nunobe S, et al. Feasibility of laparoscopic and endoscopic cooperative surgery for gastric submucosal tumors (with video). Gastrointest Endosc 2016;84:47-52. https://doi.org/10.1016/j.gie.2015.11.040
  14. Park JY, Kim YW, Ryu KW, et al. Assessment of laparoscopic stomach preserving surgery with sentinel basin dissection versus standard gastrectomy with lymphadenectomy in early gastric cancer-a multicenter randomized phase III clinical trial (SENORITA trial) protocol. BMC Cancer 2016;16:340. https://doi.org/10.1186/s12885-016-2336-8
  15. Mitsui T, Niimi K, Yamashita H, et al. Non-exposed endoscopic wall-inversion surgery as a novel partial gastrectomy technique. Gastric Cancer 2014;17:594-599. https://doi.org/10.1007/s10120-013-0291-5
  16. Goto O, Mitsui T, Fujishiro M, et al. New method of endoscopic full-thickness resection: a pilot study of non-exposed endoscopic wall-inversion surgery in an ex vivo porcine model. Gastric Cancer 2011;14:183-187. https://doi.org/10.1007/s10120-011-0014-8
  17. Goto O, Takeuchi H, Sasaki M, et al. Laparoscopy-assisted endoscopic full-thickness resection of gastric subepithelial tumors using a nonexposure technique. Endoscopy 2016;48:1010-1015. https://doi.org/10.1055/s-0042-111000
  18. Milone M, Di Minno MN, Galloro G, et al. Safety and efficacy of barbed suture for gastrointestinal suture: a prospective and randomized study on obese patients undergoing gastric bypass. J Laparoendosc Adv Surg Tech A 2013;23:756-759. https://doi.org/10.1089/lap.2013.0030
  19. Kim CG, Yoon HM, Lee JY, et al. Nonexposure endolaparoscopic full-thickness resection with simple suturing technique. Endoscopy 2015;47:1171-1174. https://doi.org/10.1055/s-0034-1392271
  20. Inoue H, Ikeda H, Hosoya T, et al. Endoscopic mucosal resection, endoscopic submucosal dissection, and beyond: full-layer resection for gastric cancer with nonexposure technique (CLEAN-NET). Surg Oncol Clin N Am 2012;21:129-140. https://doi.org/10.1016/j.soc.2011.09.012

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