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Gastric Cancer And Laparoscopic Surgery

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https://read.qxmd.com/read/30863178/laparoscopic-uncut-roux-en-y-for-radical-distal-gastrectomy-the-study-protocol-for-a-multirandomized-controlled-trial
#1
Quan Wang, Qingrong Ni, Kelu Yang, Sheqing Ji, Yong Fan, Chen Wang, Wenbin Zhang, Su Yan, Qi Ma, Qiuya Wei, Di Zhang, Juan Yu, Gang Ji
Gastric cancer is the third most common cause of cancer-related deaths and is the fifth highest incidence of cancer worldwide, especially in Eastern Asia, Central and Eastern Europe, and South America. Currently, surgery is the only curative treatment for gastric cancer; however, digestive tract reconstruction after distal gastrectomy for gastric cancer is controversial due to the postoperative complications such as reflux gastritis. There is an increasing trend toward laparoscopic uncut Roux-en-Y (URY) for radical gastrectomy...
2019: Cancer Management and Research
https://read.qxmd.com/read/30859424/sentinel-lymph-node-sampling-for-early-gastric-cancer-preliminary-results-of-a-north-american-prospective-study
#2
Carmen L Mueller, Robert Lisbona, Rafik Sorial, Aya Siblini, Lorenzo E Ferri
INTRODUCTION: Although endoscopic resection for early gastric cancer is well established, anatomical resection with regional lymphadenectomy is recommended for lesions at high risk for occult lymph node metastasis (e.g., lymphovascular invasion, poor grade, and deep submucosal invasion). However, 75-95% high-risk early gastric cancer (HR-EGC) patients ultimately have node-negative disease and could potentially have undergone organ-sparing resection. Due to the inadequacy of standard modalities to reliably rule out nodal metastases in HR-EGC patients, sentinel lymph node (SLN) sampling was developed in Asia with promising results...
March 11, 2019: Journal of Gastrointestinal Surgery: Official Journal of the Society for Surgery of the Alimentary Tract
https://read.qxmd.com/read/30858395/three-dimensional-stereoscopic-visualization-shortens-operative-time-in-laparoscopic-gastrectomy-for-gastric-cancer
#3
Yoshiro Itatani, Kazutaka Obama, Tatsuto Nishigori, Riki Ganeko, Shigeru Tsunoda, Hisahiro Hosogi, Shigeo Hisamori, Kyoichi Hashimoto, Yoshiharu Sakai
Laparoscopic gastrectomy for gastric cancer is now widely accepted and has become a standard surgery. This study investigated the advantages of three-dimensional (3D) stereoscopic visualization for laparoscopic gastrectomy over a conventional two-dimensional (2D) planar screen. The primary outcome of this study was operative time. Ninety-four consecutive cases of gastric cancer patients who underwent laparoscopic total gastrectomy (LTG) (25 cases) or laparoscopic distal gastrectomy (LDG) (69 cases) were enrolled in this study before and after the introduction of the 3D system...
March 11, 2019: Scientific Reports
https://read.qxmd.com/read/30855489/malignant-melanoma-of-the-esophagus-complicated-with-poorly-differentiated-mucinous-adenocarcinoma-of-the-stomach-a-case-report
#4
Ji Li, Yan Liu, Bin Wang, Xun Sun, Xiangwei Meng
RATIONALE: Primary malignant melanoma of the esophagus (PMME) is a rare malignancy that only accounts for <2% of all primary esophageal tumors. Here, we report the even rarer occurrence of PMME in combination with poorly differentiated mucinous adenocarcinoma of the stomach. PATIENT CONCERNS: A 64-year-old man was presented to the hospital with >1 month of eating dysphagia. Enhanced computed tomography (CT) scan only found a space-occupying lesion in the lower esophagus with moderate enhancement...
March 2019: Medicine (Baltimore)
https://read.qxmd.com/read/30852372/a-case-of-synchronous-advanced-gastric-cancer-and-locally-advanced-prostate-cancer-with-combined-laparoscopic-and-robotic-surgery-a-case-report
#5
Toru Imagami, Satoru Takayama, Taku Hattori, Ryohei Matsui, Masaki Sakamoto, Hisanori Kani, Satoshi Kurokawa, Tsuyoshi Fujiwara
INTRODUCTION: The optimal management strategy for synchronous gastric cancer (GC) and prostate cancer (PCa) remains unclear, particularly in cases in which two cancers are progressive. PRESENTATION OF CASE: A 68-year-old man diagnosed with synchronous advanced GC and locally advanced PCa was referred to our institution. Laparoscopic total gastrectomy (LTG) and robotic-assisted radical prostatectomy were simultaneously performed. The postoperative course was similar to the standard postoperative course of LTG alone...
March 1, 2019: International Journal of Surgery Case Reports
https://read.qxmd.com/read/30851914/robotic-spleen-preserving-splenic-hilar-lymphadenectomy-for-advanced-proximal-gastric-cancer-a-feasible-and-simplified-procedure
#6
Qi-Yue Chen, Qing Zhong, Chao-Hui Zheng, Chang-Ming Huang
BACKGROUND: Robotic systems recently have been introduced to overcome technical limitations of conventional laparoscopic gastrectomy, especially for complex procedures [1]. We developed a set of procedural operation steps for robotic spleen-preserving splenic hilar lymphadenectomy, which is difficult and recommended in D2 lymph node (LN) dissection during total gastrectomy [2-4]. METHODS: The robotic operative procedures of splenic hilar lymphadenectomy using the da Vinci® Si system were demonstrated in a step-by-step manner, with technical tips for each step, in the video clip...
March 2019: Surgical Oncology
https://read.qxmd.com/read/30845995/a-multi-center-prospective-randomized-controlled-trial-phase-iii-comparing-the-quality-of-life-between-laparoscopy-assisted-distal-gastrectomy-and-totally-laparoscopic-distal-gastrectomy-for-gastric-cancer-study-protocol
#7
Chang Min Lee, Ji Ho Park, Chang In Choi, Han Hong Lee, Jae-Seok Min, Ye Seob Jee, Oh Jeong, Hyundong Chae, Sung Il Choi, Hua Huang, Sungsoo Park
BACKGROUND: KLASS (the Korean Laparoendoscopic Gastrointestinal Surgery Study) is a time-honored study group that has established laparoscopic surgery for gastrointestinal disease in Korea and has performed some important studies for the rationale of laparoscopic gastrointestinal surgery. A multi-center RCT (randomized controlled trial) to compare the quality of life (QOL) of patients undergoing totally laparoscopic distal gastrectomy (TLDG) and laparoscopy-assisted distal gastrectomy (LADG) for gastric cancer, named as KLASS 07, has been currently prepared in Korea...
March 7, 2019: BMC Cancer
https://read.qxmd.com/read/30842176/short-and-long-term-outcomes-of-surgical-treatment-for-remnant-gastric-cancer-after-distal-gastrectomy
#8
Y U Nakaji, Hiroshi Saeki, Kensuke Kudou, Ryota Nakanishi, Masahiko Sugiyama, Yuichiro Nakashima, Koji Ando, Yoshinao Oda, Eiji Oki, Yoshihiko Maehara
BACKGROUND/AIM: Remnant gastric cancer (RGC) after distal gastrectomy occurs in 1-2% of patients, while the biological features of RGC are unknown. PATIENTS AND METHODS: A total of 22 consecutive patients with RGC who underwent total gastrectomy were analyzed. Their disease history included either gastric cancer (n=16) or peptic ulcer (n=6). Overall, 18 underwent open total gastrectomy (OTG) and 4 underwent laparoscopic total gastrectomy (LTG). RESULTS: The mean number of lymph nodes dissected and metastatic lymph nodes was larger in the Ulcer group than in the Carcinoma group (p<0...
March 2019: Anticancer Research
https://read.qxmd.com/read/30818158/synchronous-gallbladder-adenocarcinoma-and-gastric-gastrointestinal-stromal-tumor-case-report-and-literature-review
#9
Paulo Henrique Peitl Gregório, Lucas Seiti Takemura, André Luiz Vilela Galvão, Giuliano Campolim Gagliotti, Rodrigo Camargo Leão Edelmuth, Vanderlei Segatelli
INTRODUCTION: Synchronous occurrence of different types of neoplasms is not very frequent, representing around 6% of all cases of cancer. Usually there is a lack of information on how to treat these patients, especially when both types of cancers are also uncommon. No cases of synchronous gallbladder adenocarcinoma and gastric gastrointestinal stromal tumor have been published before. PRESENTATION OF CASE: We present the case, management and follow-up, of a 66-year-old female with incidental diagnosis of a pT2NxMx gallbladder adenocarcinoma after elective cholecystectomy that latter, during staging, was also diagnosed with GIST...
2019: International Journal of Surgery Case Reports
https://read.qxmd.com/read/30809728/is-three-dimensional-laparoscopic-spleen-preserving-splenic-hilar-lymphadenectomy-for-gastric-cancer-better-than-that-of-two-dimensional-analysis-of-a-prospective-clinical-research-study
#10
Zhi-Yu Liu, Qi-Yue Chen, Qing Zhong, Jian-Wei Xie, Jia-Bin Wang, Jian-Xian Lin, Jun Lu, Long-Long Cao, Mi Lin, Ru-Hong Tu, Ze-Ning Huang, Ju-Li Lin, Hua-Long Zheng, Chao-Hui Zheng, Chang-Ming Huang, Ping Li
BACKGROUND: Three-dimensional (3D) systems for laparoscopy provide surgeons with additional information on spatial depth not found in two-dimensional (2D) systems. METHODS: This study enrolled 156 spleen-preserving splenic hilar lymphadenectomy (LSPSHL) patients in a randomized controlled trial (ClinicalTrials.gov Identifier NCT02327481) at the department of gastric surgery at Fujian Medical University Union Hospital between January 2015 and April 2016. The short-term efficacies were compared between the treatment groups...
February 26, 2019: Surgical Endoscopy
https://read.qxmd.com/read/30805742/enhanced-recovery-versus-conventional-care-in-gastric-cancer-surgery-a-meta-analysis-of-randomized-and-non-randomized-controlled-trials
#11
REVIEW
Ian Jun Yan Wee, Nicholas Li-Xun Syn, Asim Shabbir, Guowei Kim, Jimmy B Y So
INTRODUCTION: Enhanced recovery after surgery (ERAS) protocols have been successfully integrated into peri-operative management of different cancer surgeries such as colorectal cancer. Their value for gastric cancer surgery, however, remains uncertain. METHODS: A search for randomized and observational studies comparing ERAS versus conventional care in gastric cancer surgery was performed according to PRISMA guidelines. Random-effects meta-analyses with inverse variance weighting were conducted, and quality of included studies was assessed using the Cochrane risk-of-bias tool and Newcastle-Ottawa scale (PROSPERO: CRD42017080888)...
February 25, 2019: Gastric Cancer
https://read.qxmd.com/read/30799542/-research-progression-of-endoscopic-anastomosis-technique-and-digestive-tract-reconstruction-after-totally-laparoscopic-gastrectomy-for-gastric-cancer
#12
Qiang Sun, Haiyang Zhou, Zhiqian Hu
With the development of laparoscopic skills and instruments,totally laparoscopic gastrectomy for gastric cancer has become widely used in the clinic,mainly including totally laparoscopic proximal gastric reconstruction,distal gastrectomy for gastric cancer and total gastrectomy. Digestive tract reconstruction is the key procedure of totally laparoscopic gastrectomy for gastric cancer. Totally laparoscopic surgery has less trauma and better visualization than reconstruction in a small incision. At present,feasibility and safety of totally laparoscopic gastrectomy for gastric cancer have been preliminarily confirmed...
February 25, 2019: Zhonghua Wei Chang Wai Ke za Zhi, Chinese Journal of Gastrointestinal Surgery
https://read.qxmd.com/read/30791934/strategy-for-treatment-of-stage-iv-human-epidermal-growth-factor-2-positive-gastric-cancer-a-case-report
#13
Masazumi Sakaguchi, Norihiro Shimoike, Shin Akagawa, Seiichiro Kanaya
BACKGROUND: The prognosis of stage IV gastric cancer and human epidermal growth factor 2 (HER2)-positive gastric cancer is poor, although new drugs and regimens have been developed. We report a case of a patient with stage IV HER2-positive gastric cancer treated successfully by conversion therapy and trastuzumab. CASE PRESENTATION: The patient was a 73-year-old Japanese man diagnosed as L, type 3, circ, T4aNxCy1P1M1, stage IV (the Japanese classification of gastric carcinoma)...
February 22, 2019: Journal of Medical Case Reports
https://read.qxmd.com/read/30788042/comparison-of-endoscopic-submucosal-dissection-with-surgical-gastrectomy-for-early-gastric-cancer-an-updated-meta-analysis
#14
Hua Li, Li-Qian Feng, Yao-Yao Bian, Li-Li Yang, Deng-Xiang Liu, Zhi-Bin Huo, Li Zeng
BACKGROUND: There are several surgical options for treating early gastric cancers (EGCs), such as endoscopic resection, laparoscopic or open gastrectomy with D1 or D2 lymphadenectomy. Endoscopic resection for EGC with low risk of lymph node metastasis has been widely accepted as a therapeutic alternative. The role of endoscopic submucosal dissection (ESD) in treating EGC is not well established, especially when compared with resection surgery cases in a long-term follow-up scope. AIM: To compare the safety and efficacy of the short- and long-term outcomes between ESD and resection surgery...
February 15, 2019: World Journal of Gastrointestinal Oncology
https://read.qxmd.com/read/30772006/long-term-oncologic-outcomes-of-a-randomized-controlled-trial-comparing-laparoscopic-versus-open-gastrectomy-with-d2-lymph-node-dissection-for-advanced-gastric-cancer
#15
Yan Shi, Xianhui Xu, Yongliang Zhao, Feng Qian, Bo Tang, Yingxue Hao, Huaxing Luo, Jun Chen, Peiwu Yu
BACKGROUND: Laparoscopy-assisted gastrectomy is a feasible and safe procedure for treating advanced gastric cancer in terms of short-term outcomes. However, concern about long-term oncologic outcomes has limited the adoption of laparoscopy-assisted gastrectomy for advanced gastric cancer. METHODS: We launched a prospective randomized controlled trial comparing laparoscopic and open gastrectomy with D2 lymph node dissection for locally advanced gastric cancer to evaluate long-term oncologic feasibility...
February 13, 2019: Surgery
https://read.qxmd.com/read/30768494/a-simple-method-of-intracorporeal-w-shaped-liver-retraction-technique-for-minimally-invasive-gastric-cancer-surgery
#16
Chih-Jung Wang, Ying-Jui Chao, Edgar D Sy, Yan-Shen Shan
BACKGROUND: Minimally invasive gastric cancer surgery requires an extended liver retraction in order to provide optimal operative view, working space for lymph node dissection, and esophageojejunal reconstruction. Ideally, it should avoid reposition of the retractor, additional skin incision or puncture, and liver parenchyma injury. Herein, we introduced an intracorporeal W-shaped liver retraction technique (W-LRT) for minimally invasive gastric cancer surgery without an additional incision or abodminal puncture...
February 12, 2019: Surgical Laparoscopy, Endoscopy & Percutaneous Techniques
https://read.qxmd.com/read/30765682/-multi-look-staging-laparoscopy-and-conversion-surgery-for-gastric-cancer-with-peritoneal-metastases
#17
Toshiki Noma, Tsuyoshi Takahashi, Yasuhiro Miyazaki, Yukinori Kurokawa, Koji Tanaka, Tomoki Makino, Kiyokazu Nakajima, Makoto Yamasaki, Masaki Mori, Yuichiro Doki
A 46-year-old male patient with anorexia consulted our hospital. A scirrhous gastric cancer was found, and he was introduced to us. Laparoscopic examination was performed, and advanced peritoneal disseminated nodules were confirmed(CY1, P1). S-1 plus docetaxel therapy was introduced as first-line chemotherapy. Although the best effect judgment was PR, the primary lesion re-increased in size. We changed to the secondary weekly paclitaxel therapy. After 7 courses of the therapy, a second laparoscopic examination was performed, which confirmed the microscopic residual cancer cells(P1)in the reduced peritoneal nodules...
January 2019: Gan to Kagaku Ryoho. Cancer & Chemotherapy
https://read.qxmd.com/read/30758761/internal-hernia-after-gastrectomy-for-gastric-cancer-in-minimally-invasive-surgery-era
#18
Kyong Min Kang, Yo Seok Cho, Sa-Hong Min, Yoontaek Lee, Ki Bum Park, Young Suk Park, Sang-Hoon Ahn, Do Joong Park, Hyung-Ho Kim
BACKGROUND: The incidence and clinical presentation of internal hernia after gastrectomy have been changing in the minimally invasive surgery era. This study aimed to analyze the clinical features and risk factors for internal hernia after gastrectomy for gastric cancer. METHODS: We retrospectively analyzed internal hernia after gastrectomy for gastric cancer in 6474 patients between January 2003 and December 2016 at Seoul National University Bundang Hospital. Multivariable logistic regression was performed to evaluate risk factors...
February 13, 2019: Gastric Cancer
https://read.qxmd.com/read/30739871/gastric-cancer-after-gastric-bypass-with-fundectomy-the-possibility-for-early-diagnosis
#19
Marco Antonio Zappa, Maria Paola Giusti, Elisa Galfrascoli
INTRODUCTION: Roux-an-Y gastric bypass (RYGP) is one of the most important bariatric procedures and its results are well known in terms of weight loss and comorbid improvement. The major limitation of this technique is the difficult exploration of the excluded stomach and duodenum. Some Authors are performing the gastric bypass with fundectomy and, according to Literature, it is feasible and effective, with major advantage of explorable gastric pouch. PRESENTATION OF CASE: We report the case of a 54-year-old woman affected by obesity (BMI 49 kg/m2 )...
February 1, 2019: International Journal of Surgery Case Reports
https://read.qxmd.com/read/30737053/intracorporeal-versus-extracorporeal-anastomosis-after-laparoscopic-gastrectomy-for-gastric-cancer-a-systematic-review-with-meta-analysis
#20
M Milone, M Manigrasso, M Burati, U Elmore, N Gennarelli, M Cesare Giglio, F Maione, M Musella, V Lo Conte, F Milone, G Domenico De Palma
AIM: To perform a systematic review and meta-analyses of studies comparing the totally laparoscopic procedures with intracorporeal anastomosis (IA) to laparoscopic-assisted surgery with extracorporeal anastomosis (EA) in gastric resections. METHODS: We performed a systematic search in the electronic databases. Outcomes analysed were: intraoperative (operative time and intraoperative blood loss), oncologic (harvested nodes, distance of the tumour from proximal and distal margin), postoperative complications (gastric stasis, intraluminal and extraluminal bleeding, leakage and wound infection) recovery (time to first flatus, time to first oral intake and hospital stay)...
February 5, 2019: Journal of Visceral Surgery
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