Clinical Endoscopy

  • 제51권2호
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  • Pages.167-173
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  • 2018
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  • 2234-2400(pISSN)
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  • 2234-2443(eISSN)
대한소화기내시경학회 (The Korean Society of Gastrointestinal Endoscopy)
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Non-Exposure Endoscopic-Laparoscopic Cooperative Surgery for Stomach Tumors: First Experience from the Czech Republic

  • Hajer, Jan (Second Department of Internal Medicine, Third Faculty of Medicine and University Hospital Kralovske Vinohrady, Charles University) ;
  • Havluj, Lukas (Department of General Surgery, Third Faculty of Medicine and University Hospital Kralovske Vinohrady, Charles University) ;
  • Whitley, Adam (Department of General Surgery, Third Faculty of Medicine and University Hospital Kralovske Vinohrady, Charles University) ;
  • Gurlich, Robert (Department of General Surgery, Third Faculty of Medicine and University Hospital Kralovske Vinohrady, Charles University)
  • 투고 : 2017.05.15
  • 심사 : 2017.08.24
  • 발행 : 2018.03.30
⟨ 이전 논문 다음 논문 ⟩

초록

Background/Aims: The aim of this study was to investigate the use of non-exposure endoscopic wall-inversion surgery (NEWS) and the combination of laparoscopic and endoscopic approaches to neoplasia with non-exposure technique (CLEAN-NET) in gastric tumors. Methods: We reviewed all cases of NEWS and CLEAN-NET performed in the department of surgery of the Royal Vinohrady Teaching Hospital. Results: Our department performed 12 gastric tumor resections (NEWS, n=10 and CLEAN-NET, n=2) between March 2016 and February 2017. The cases chosen for these resections included predominantly submucosal tumors with no signs of dissemination or local invasion and early gastric carcinomas ($T1_{SM1}$ and $T1_M$), where tumor location made it impossible to use endoscopic submucosal dissection. R0 resection margins were confirmed in all the cases. Conclusions: NEWS and CLEAN-NET allow en bloc non-exposed full-thickness gastric wall resection in a way that uses a "close first, cut later" approach to prevent seeding of the peritoneal cavity with tumor cells. These mini-invasive techniques combine laparoscopic and endoscopic techniques, and preserve the full function of the stomach.

키워드

과제정보

연구 과제 주관 기관 : Charles University

참고문헌

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피인용 문헌

  1. Clinical Overview of GIST and Its Latest Management by Endoscopic Resection in Upper GI: A Literature Review vol.2018, pp.None, 2018, https://doi.org/10.1155/2018/6864256
  2. Comparison of Nonexposed Endoscopic Wall-Inversion Surgery with Endoscopic-Navigated Laparoscopic Wedge Resection for Gastric Submucosal Tumours: Results of a Two-Centre Study vol.2019, pp.None, 2018, https://doi.org/10.1155/2019/7573031
  3. CLEAN-NET: a modified laparoendoscopic wedge resection of the stomach to minimize the sacrifice of innocent gastric wall vol.34, pp.1, 2018, https://doi.org/10.1007/s00464-019-06765-3
  4. Clinical outcomes of non-exposed endoscopic wall-inversion surgery for gastric submucosal tumors: long-term follow-up and functional results vol.23, pp.1, 2020, https://doi.org/10.1007/s10120-019-00985-1
  5. Nonexposed wall-inversion surgery as a novel local resection method for neoplasms in the gastrointestinal tract vol.82, pp.2, 2018, https://doi.org/10.18999/nagjms.82.2.175
  6. Editors' Choice of Noteworthy Clinical Endoscopy Publications in the First Decade vol.54, pp.5, 2018, https://doi.org/10.5946/ce.2021.216