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Gastric cancer laparoscopy

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https://www.readbyqxmd.com/read/27900486/staging-laparoscopy-for-advanced-gastric-cancer-significance-of-preoperative-clinicopathological-factors
#1
Hisahiro Hosogi, Hisashi Shinohara, Shigeru Tsunoda, Shigeo Hisamori, Hitoshi Sumida, Koya Hida, Kazutaka Obama, Hiroshi Okabe, Yoshiharu Sakai
PURPOSE: Although the use of staging laparoscopy (SL) for detecting peritoneal metastasis (P) and determining peritoneal lavage cytology (CY) is widespread in advanced gastric cancer, an indication for SL based on preoperative clinicopathological factors is controversial. METHODS: From May 2006 to September 2015, 120 patients with advanced gastric cancer with primary tumors ≥5 cm and/or with bulky regional lymph nodes (bulky N) underwent SL for assessment of P/CY status...
November 29, 2016: Langenbeck's Archives of Surgery
https://www.readbyqxmd.com/read/27869493/laparoscopy-assisted-gastrectomy-in-the-elderly-experience-from-a-uk-centre
#2
A Tandon, I Rajendran, M Aziz, R Kolamunnage-Dona, Q M Nunes, M Shrotri
BACKGROUND Gastric cancer has a high incidence in the elderly in the UK, with a significant number of patients aged 75 years or more. While surgery forms the mainstay of treatment, evidence pertaining to the management of gastric cancer in the Western population in this age group is scarce. METHODS We retrospectively reviewed the outcomes of laparoscopy-assisted total and distal gastrectomies at our centre from 2005 to 2015. Patients aged 70 years or above were included in the elderly group. RESULTS A total of 60 patients underwent laparoscopy-assisted gastrectomy over a 10-year period, with a predominance of male patients...
November 21, 2016: Annals of the Royal College of Surgeons of England
https://www.readbyqxmd.com/read/27858518/three-united-laparoscopic-surgery-for-the-treatment-of-gastric-cardia-cancer-a-comparative-study-with-laparotomy-and-laparoscopy-assisted-surgery
#3
Zhanxue Zhang, Shuyuan Sun, Jinchun Qi, Shaofan Qiu, Haijun Wang, Lina Ru, Lin Lin, Zhong Li, Zongmao Zhao
BACKGROUND & AIM: Gastric cancer is a leading cause of cancer-related mortality worldwide. We have invented a novel hand-assist device that allows the placement of surgical instruments and the maneuvering of the surgeon's hand, and we have established a new hand-assisted laparoscopic technique called Three United Laparoscopic Surgery (TULS) for laparoscopic dissection of advanced gastric cancer. The present study aimed at exploring the usefulness of TULS in the treatment of advanced gastric cardia cancer...
November 18, 2016: Journal of Laparoendoscopic & Advanced Surgical Techniques. Part A
https://www.readbyqxmd.com/read/27834031/surgeon-s-experience-overrides-the-effect-of-hospital-volume-for-postoperative-outcomes-of-laparoscopic-surgery-in-gastric-cancer-multi-institutional-study
#4
Han Hong Lee, Sang-Yong Son, Ju Hee Lee, Min Gyu Kim, Hoon Hur, Do Joong Park
BACKGROUND: Hospital volume is known to be a crucial factor in reducing postoperative morbidity and mortality in laparoscopic gastrectomy for gastric cancer. However, it is unclear whether surgeon's individual experience can overcome the effect of hospital volume. METHODS: Clinicopathologic data of initial 50 laparoscopic gastrectomy cases were collected from six gastric cancer surgeons. Half of the six surgeons worked in high-volume centers, and the other half worked in low-volume hospitals...
November 10, 2016: Annals of Surgical Oncology
https://www.readbyqxmd.com/read/27830364/training-system-for-laparoscopy-assisted-distal-gastrectomy
#5
Shinji Kuroda, Satoru Kikuchi, Naoto Hori, Shuichi Sakamoto, Tetsuya Kagawa, Megumi Watanabe, Tetsushi Kubota, Kazuya Kuwada, Michihiro Ishida, Hiroyuki Kishimoto, Futoshi Uno, Masahiko Nishizaki, Shunsuke Kagawa, Toshiyoshi Fujiwara
PURPOSE: Laparoscopy-assisted distal gastrectomy (LADG) is likely to become a standard procedure for gastric cancer, which highlights the importance of establishing a training system in which even inexperienced surgeons can perform this procedure safely. This study assesses our training system for LADG based on short-term surgical outcomes. METHODS: We evaluated retrospectively the short-term outcomes of 100 consecutive LADGs with curative D1/D1+ lymph node dissection...
November 9, 2016: Surgery Today
https://www.readbyqxmd.com/read/27822632/prognostic-significance-of-basing-treatment-strategy-on-the-results-of-photodynamic-diagnosis-in-advanced-gastric-cancer
#6
Yuki Ushimaru, Yoshiyuki Fujiwara, Kentaro Kishi, Keijiro Sugimura, Takeshi Omori, Jeong-Ho Moon, Yoshitomo Yanagimoto, Masayuki Ohue, Masayoshi Yasui, Hidenori Takahashi, Shogo Kobayashi, Hirofumi Akita, Norikatsu Miyoshi, Akira Tomokuni, Masato Sakon, Masahiko Yano
BACKGROUND: We have previously reported that use of a staging laparoscopy (SL) combined with photodynamic diagnosis using 5-aminolevulinic acid (ALA-SL) improves sensitivity in detecting peritoneal dissemination in gastric cancer (GC). The purpose of this study was to examine the clinical significance of basing treatment strategies on the results of ALA-SL in patients with advanced GC. PATIENTS AND METHODS: ALA-SL was performed on 113 patients with advanced GC prior to determination of their first course of treatment...
November 7, 2016: Annals of Surgical Oncology
https://www.readbyqxmd.com/read/27802070/nose-laparoscopic-gastrectomies-for-early-gastric-cancer-may-reduce-morbidity-and-hospital-stay-early-results-from-a-prospective-non-randomized-study
#7
Cristiano Gs Hüscher, Marco Maria Lirici, Cecilia Ponzano
BACKGROUND: Natural Orifice Specimen Extraction - NOSE laparoscopy is a promising technique that avoids mini-laparotomy, possibly reducing postoperative pain, wound infections and hospital stay. Recent systematic reviews have shown that postoperative morbidity associated with laparoscopically assisted gastrectomies is similar to that after open gastrectomies. More specifically, there is no difference in wound infection rate. The study objective was to evaluate whether postoperative morbidity and hospital stay may be reduced by transoral specimen extraction after laparoscopically assisted gastrectomy for early gastric cancer...
November 1, 2016: Minimally Invasive Therapy & Allied Technologies: MITAT
https://www.readbyqxmd.com/read/27766753/modified-esophagogastrostomy-in-laparoscopy-assisted-proximal-gastrectomy-a-reverse-tornado-anastomosis
#8
Keisuke Kubota, Akihiro Suzuki, Aoi Fujikawa, Takayuki Watanabe, Yuki Sekido, Hironori Shiozaki, Takashi Taketa, Gen Shimada, Seiji Ohigashi, Shintaro Sakurai, Akihiro Kishida
INTRODUCTION: The aim of this study was to introduce and examine a modified mechanical end-to-side esophagogastrostomy method ("reverse-Tornado" anastomosis) in laparoscopy-assisted proximal gastrectomy. METHODS: Five patients with gastric cancer who underwent laparoscopy-assisted proximal gastrectomy were analyzed retrospectively. Esophagogastrostomy in the anterior wall was performed in three patients, and esophagogastrostomy in the posterior wall was performed in two patients...
October 21, 2016: Asian Journal of Endoscopic Surgery
https://www.readbyqxmd.com/read/27760960/-analysis-of-short-term-outcomes-after-laparoscopy-assisted-pylorus-preserving-gastrectomy
#9
Junji Kawada, Masaya Nishino, Yohei Hosoda, Hiromitsu Hoshino, Miho Okano, Kenichi Nagai, Masaki Okuyama, Yongkook Kim, Toshimasa Tsujinaka
BACKGROUND: Pylorus-preserving gastrectomy(PPG)has long been used for the treatment of early gastric cancer, and its survival benefits, postoperative symptoms, and functional outcomes have already been reported in several studies. This study aimed to evaluate the short-term outcomes after LAPPG in our hospital. METHODS: Ten patients with early gastric cancer underwent LAPPG from 2013 to 2015 in our hospital. Their short-term outcomes after LAPPG were retrospectively analyzed...
October 2016: Gan to Kagaku Ryoho. Cancer & Chemotherapy
https://www.readbyqxmd.com/read/27756027/hand-assisted-laparoscopic-spleen-preserving-distal-pancreatectomy-combined-with-laparoscopic-distal-gastrectomy-for-the-treatment-of-pancreatic-neuroendocrine-tumor-with-early-gastric-cancer-report-of-a-case
#10
Hiroki Sugita, Hideyuki Kuroki, Takahiko Akiyama, Nobuya Daitoku, Rumi Tashima, Hiroshi Tanaka, Shinobu Honda, Masahiko Hirota
INTRODUCTION: In a distal pancreatectomy combined with a distal gastrectomy, the splenic artery and vein must be conserved. However, it is not easy in pure laparoscopic surgery. We performed a hand-assisted laparoscopic spleen-preserving distal pancreatectomy (HALS-SPDP) combined with a laparoscopic distal gastrectomy (LDG) for the treatment of a pancreatic neuroendocrine tumor (NET) with early gastric cancer. PRESENTATION OF CASE: A 67-year-old male was hospitalized with no complaint...
2016: International Journal of Surgery Case Reports
https://www.readbyqxmd.com/read/27751530/postoperative-quality-of-life-after-laparoscopy-assisted-pylorus-preserving-gastrectomy-compared-with-laparoscopy-assisted-distal-gastrectomy-a-cross-sectional-postal-questionnaire-survey
#11
Kei Hosoda, Keishi Yamashita, Shinichi Sakuramoto, Natsuya Katada, Hiromitsu Moriya, Hiroaki Mieno, Masahiko Watanabe
BACKGROUND: Little is known about postgastrectomy syndrome and quality of life (QOL after laparoscopy-assisted pylorus-preserving gastrectomy (LAPPG). The aim of this study was to assess postgastrectomy syndrome and QOL after LAPPG as compared with laparoscopy-assisted distal gastrectomy with Billroth-I reconstruction (LADGBI). METHODS: Postgastrectomy Syndrome Assessment Scale-45 (PGSAS-45) questionnaires were sent by mail to 167 patients. To balance the characteristics of the groups, propensity score matching was performed...
October 8, 2016: American Journal of Surgery
https://www.readbyqxmd.com/read/27747472/advances-in-laparoscopic-and-robotic-gastrectomy-for-gastric-cancer
#12
Sheng-Han Tsai, Chien-An Liu, Kuo-Hung Huang, Yuan-Tzu Lan, Ming-Huang Chen, Yee Chao, Su-Shun Lo, Anna Fen-Yau Li, Chew-Wun Wu, Shih-Hwa Chiou, Muh-Hwa Yang, Yi-Ming Shyr, Wen-Liang Fang
Robot-assisted gastrectomy has been reported to be a safe alternative to both conventional laparoscopy and the open approach for treating early gastric carcinoma. Currently, there are a limited number of published reports on this technique in the literature. We assessed the current status of robotic and laparoscopic surgery in the treatment of gastric cancer and compared the operative outcomes, learning curves, and oncological outcome of the two approaches. Robotic gastrectomy offers benefits that include increased ease of performing D2 lymph node dissection and reduced blood loss compared with laparoscopic gastrectomy...
October 17, 2016: Pathology Oncology Research: POR
https://www.readbyqxmd.com/read/27743123/effect-of-comorbidities-on-postoperative-complications-in-patients-with-gastric-cancer-after-laparoscopy-assisted-total-gastrectomy-results-from-an-8-year-experience-at-a-large-scale-single-center
#13
Jia-Bin Wang, Chao-Hui Zheng, Ping Li, Jian-Wei Xie, Jian-Xian Lin, Jun Lu, Qi-Yue Chen, Long-Long Cao, Mi Lin, Chang-Ming Huang
BACKGROUND: Comorbidity is a predictor of postoperative complications in gastrectomy. However, it remains unclear which comorbidities are predictors of postoperative complications in gastric cancer patients who have undergone laparoscopy-assisted total gastrectomy (LATG). The purpose of this study was to evaluate the effect of comorbidities on the surgical outcomes of patients with gastric cancer after LATG. METHODS: We retrospectively collected data on 1657 gastric cancer patients who underwent LATG between January 2008 and December 2015...
October 14, 2016: Surgical Endoscopy
https://www.readbyqxmd.com/read/27739194/laparoscopy-assisted-distal-gastrectomy-in-a-case-of-gastric-cancer-with-situs-inversus-totalis-a-case-report
#14
Yu Kigasawa, Hiroya Takeuchi, Hirofumi Kawakubo, Kazumasa Fukuda, Rieko Nakamura, Tsunehiro Takahashi, Norihito Wada, Yuko Kitagawa
Situs inversus totalis (SIT) is a rare congenital condition in which abdominal and thoracic organs are transposed from normal positions. Laparoscopy-assisted distal gastrectomy for situs inversus totalis is technically difficult and has rarely been reported. Here, we report the case of man in his 40s with situs inversus totalis and a preoperative diagnosis of stage IA gastric cancer (cT1b, cN0, cM0). We successfully performed laparoscopy-assisted distal gastrectomy with D1+ lymph node dissection and Billroth I reconstruction...
October 13, 2016: Asian Journal of Endoscopic Surgery
https://www.readbyqxmd.com/read/27718137/short-term-surgical-outcomes-from-a-phase-iii-study-of-laparoscopy-assisted-versus-open-distal-gastrectomy-with-nodal-dissection-for-clinical-stage-ia-ib-gastric-cancer-japan-clinical-oncology-group-study-jcog0912
#15
Hitoshi Katai, Junki Mizusawa, Hiroshi Katayama, Masakazu Takagi, Takaki Yoshikawa, Takeo Fukagawa, Masanori Terashima, Kazunari Misawa, Shin Teshima, Keisuke Koeda, Souya Nunobe, Norimasa Fukushima, Takashi Yasuda, Yoshito Asao, Yoshiyuki Fujiwara, Mitsuru Sasako
BACKGROUNDS: No confirmatory randomized controlled trials (RCTs) have evaluated the efficacy of laparoscopy-assisted distal gastrectomy (LADG) compared with open distal gastrectomy (ODG). We performed an RCT to confirm that LADG is not inferior to ODG in efficacy. METHODS: We conducted a multi-institutional RCT. Eligibility criteria included histologically proven gastric adenocarcinoma in the middle or lower third of the stomach, clinical stage I tumor. Patients were preoperatively randomized to ODG or LADG...
October 7, 2016: Gastric Cancer
https://www.readbyqxmd.com/read/27686639/-surgical-outcomes-after-laparoscopy-assisted-distal-gastrectomy-and-open-distal-gastrectomy-for-patients-with-advanced-gastric-cancer-a-case-control-study-using-a-propensity-score-method
#16
J X Lin, C M Huang, C H Zheng, P Li, J W Xie, J B Wang, J Lu, Q Y Chen, L L Cao, M Lin
Objective: To investigate the surgical outcomes after the laparoscopy-assisted distal gastrectomy (LADG) for patients with advanced gastric cancer. Methods: The data of 213 patients who underwent LADG and 213 treated by open distal gastrectomy (ODG) were selected using the propensity score matching method from a prospectively constructed database of 641 patients who underwent radical distal gastrectomy between January 2005 and June 2012 in Department of Gastric Surgery, Fujian Medical University Union Hospital...
October 1, 2016: Zhonghua Wai Ke za Zhi [Chinese Journal of Surgery]
https://www.readbyqxmd.com/read/27678357/seventh-tumor-node-metastasis-staging-of-gastric-cancer-five-year-follow-up
#17
REVIEW
Stefano Rausei, Laura Ruspi, Federica Galli, Vincenzo Pappalardo, Giuseppe Di Rocco, Francesco Martignoni, Francesco Frattini, Francesca Rovera, Luigi Boni, Gianlorenzo Dionigi
Seventh tumor-node-metastasis (TNM) classification for gastric cancer, published in 2010, introduced changes in all of its three parameters with the aim to increase its accuracy in prognostication. The aim of this review is to analyze the efficacy of these changes and their implication in clinical practice. We reviewed relevant Literature concerning staging systems in gastric cancer from 2010 up to March 2016. Adenocarcinoma of the esophago-gastric junction still remains a debated entity, due to its peculiar anatomical and histological situation: further improvement in its staging are required...
September 14, 2016: World Journal of Gastroenterology: WJG
https://www.readbyqxmd.com/read/27646414/robotic-vs-laparoscopic-distal-gastrectomy-with-d2-lymphadenectomy-for-gastric-cancer-a-retrospective-comparative-mono-institutional-study
#18
Fabio Cianchi, Giampiero Indennitate, Giacomo Trallori, Manuela Ortolani, Beatrice Paoli, Giuseppe Macrì, Gabriele Lami, Beatrice Mallardi, Benedetta Badii, Fabio Staderini, Etleva Qirici, Antonio Taddei, Maria Novella Ringressi, Luca Messerini, Luca Novelli, Siro Bagnoli, Andrea Bonanomi, Caterina Foppa, Ileana Skalamera, Giulia Fiorenza, Giuliano Perigli
BACKGROUND: Robotic surgery has been developed with the aim of improving surgical quality and overcoming the limitations of conventional laparoscopy in the performance of complex mini-invasive procedures. The present study was designed to compare robotic and laparoscopic distal gastrectomy in the treatment of gastric cancer. METHODS: Between June 2008 and September 2015, 41 laparoscopic and 30 robotic distal gastrectomies were performed by a single surgeon at the same institution...
September 20, 2016: BMC Surgery
https://www.readbyqxmd.com/read/27631378/comparison-of-delta-shape-anastomosis-and-extracorporeal-billroth-i-anastomosis-after-laparoscopic-distal-gastrectomy-for-gastric-cancer-a-systematic-review-with-meta-analysis-of-short-term-outcomes
#19
Geng-Yuan Hu, Feng Tao, Ke-Wei Ji, Wei Wang
OBJECTIVE: The aim of this systematic review and meta-analysis is to evaluate the safety and relative benefits of delta-shape anastomosis (DA) by comparing to conventional laparoscopy-assisted distal gastrectomy with Billroth I gastroduodenostomy (LADG BI). METHODS: Studies and relevant literature regarding DA versus LADG BI were searched in the electronic databases. Operation time, postoperative complications, estimated blood loss, number of retrieved lymph nodes, time to first flatus, time to oral intake, length of postoperative hospitalization in DA and LADG BI were pooled and compared using meta-analysis...
2016: PloS One
https://www.readbyqxmd.com/read/27631257/learning-curve-for-gastric-cancer-patients-with-laparoscopy-assisted-distal-gastrectomy-6-year-experience-from-a-single-institution-in-western-china
#20
Lin-Yong Zhao, Wei-Han Zhang, Yan Sun, Xin-Zu Chen, Kun Yang, Kai Liu, Xiao-Long Chen, Yi-Gao Wang, Xiao-Hai Song, Lian Xue, Zong-Guang Zhou, Jian-Kun Hu
Laparoscopy-assisted distal gastrectomy (LADG) is widely used for gastric cancer (GC) patients nowadays. This study aimed to investigate the time trend of outcomes so as to describe the learning curve for GC patients with LADG at a single medical institution in western China over a 6-year period.A total of 246 consecutive GC patients with LADG were divided into 5 groups (group A: 46 patients from 2006 to 2007; group B: 47 patients in 2008; group C: 49 patients in 2009; group D: 73 patients in 2010; and group E: 31 patients in 2011)...
September 2016: Medicine (Baltimore)
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