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Tytuł pozycji:

Effectiveness of Intraoperative Endoscopy for Localization of Early Gastric Cancer during Laparoscopic Distal Gastrectomy.

Tytuł :
Effectiveness of Intraoperative Endoscopy for Localization of Early Gastric Cancer during Laparoscopic Distal Gastrectomy.
Autorzy :
Oh YJ; Center for Gastric Cancer, National Cancer Center, Goyang, Republic of Korea, .
Yang SG; Center for Gastric Cancer, National Cancer Center, Goyang, Republic of Korea.
Han WH; Center for Gastric Cancer, National Cancer Center, Goyang, Republic of Korea.
Eom BW; Center for Gastric Cancer, National Cancer Center, Goyang, Republic of Korea.
Yoon HM; Center for Gastric Cancer, National Cancer Center, Goyang, Republic of Korea.
Kim YW; Center for Gastric Cancer, National Cancer Center, Goyang, Republic of Korea.
Ryu KW; Center for Gastric Cancer, National Cancer Center, Goyang, Republic of Korea.
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Źródło :
Digestive surgery [Dig Surg] 2022; Vol. 39 (2-3), pp. 92-98. Date of Electronic Publication: 2022 Apr 27.
Typ publikacji :
Journal Article
Język :
English
Imprint Name(s) :
Original Publication: Basel ; New York : S. Karger, [c1984-
MeSH Terms :
Laparoscopy*/methods
Stomach Neoplasms*/diagnostic imaging
Stomach Neoplasms*/pathology
Stomach Neoplasms*/surgery
Gastrectomy/methods ; Humans ; Margins of Excision ; Retrospective Studies
Contributed Indexing :
Keywords: Early gastric cancer; Intraoperative endoscopy; Laparoscopic gastrectomy; Localization
Entry Date(s) :
Date Created: 20220427 Date Completed: 20220615 Latest Revision: 20220615
Update Code :
20220616
DOI :
10.1159/000524565
PMID :
35477109
Czasopismo naukowe
Introduction: Intraoperative localization of tumors has been considered crucial in determining adequate resection margins during laparoscopic gastrectomy for early gastric cancer (EGC). This study has evaluated the effectiveness of intraoperative endoscopy for localization of EGC during the totally laparoscopic distal gastrectomy.
Methods: Patients with EGC who received totally laparoscopic distal gastrectomy from January 2018 to March 2020 were included in this study. Except the tumors located in the antrum, the patients were categorized into two groups: no localization procedure (n = 144) and intraoperative endoscopy (n = 65). To evaluate the effectiveness of the localization procedure, proximal resection margin (PRM) involvement by the tumor and approximation of optimal PRM were compared, including their postoperative outcomes.
Results: There were 3 patients (2.1%) with tumor involvement of the PRM at the initial gastric resection in the no localization group. Distance from the tumor to the PRM was determined to be not significantly different between the no localization group and intraoperative endoscopy group. The PRM distribution pattern and reconstruction method were also not significantly different between the two groups.
Discussion/conclusion: Intraoperative endoscopy for localization of EGC is an effective method to avoid tumor involvement at the resection margin during the laparoscopic gastrectomy with intracorporeal gastric resection and reconstruction.
(© 2022 S. Karger AG, Basel.)

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