geoscience.net logo
+ Resolve Article
+ Follow Us
Follow on FacebookFollow on Facebook
Follow on TwitterFollow on Twitter

+ Translate
+ Subscribe to Site Feed
GeoScience Most Shared ContentMost Shared Content

Curative laparoscopic surgery for early gastric cancer: five years experience


, : Curative laparoscopic surgery for early gastric cancer: five years experience. World Journal of Surgery 23(2): 187-92; Discussion 192-3

Sixty-one patients who were diagnosed with mucosal gastric cancer have been successfully treated with two laparoscopic techniques at our institute from March 1992 to March 1997. One is laparoscopic wedge resection of the stomach using a lesion-lifting method for lesions of the anterior wall, the lesser curvature, and the greater curvature of the stomach. The other is laparoscopic intragastric mucosal resection for lesions of the posterior wall of the stomach and near the cardia or the pylorus. Indications are as follows: (1) preoperatively diagnosed mucosal cancer; (2) <25 mm diameter elevated lesions; and (3) <15 mm diameter depressed lesions without ulcer formation. Patients were discharged in 4 to 8 days uneventfully. There was no major complication or mortality. The resected specimens had sufficient surgical margins horizontally (16 +/- 5 and 8 +/- 4 mm, respectively) and vertically. In one patient histologic examination revealed slight tumor infiltration into the submucosal layer with lymphatic invasion. He underwent gastrectomy with lymph node dissection 1 month after surgery. Otherwise, histologic examination revealed curative surgery. All patients in the series have survived during the 4- to 65-month follow-up period. There have been two recurrences in the series, both of which were found near the staple line 2 years after the initial surgery and were still mucosal lesions. They were successfully treated by open gastrectomy and laser irradiation. A separate early gastric cancer was found 2 years after the initial surgery in one patient, who then underwent curative open gastrectomy. In conclusion, if the patients are selected properly, these laparoscopic procedures are curative, minimally invasive treatment for early gastric cancer.

US$29.90

PMID: 9880430


Other references

Bethune Baker, G.T., 1926: Descriptions of new species of Rhopalocera from the Ethiopian region. Nymphali-dae: Acraea althojfi Dew. f. bitjana (p. 384) and Dies-togyna batesana (p. 384), Cameroons; Cymothoe zombana (p. 385), Nyassaland, type in Brit. Mus.; C. melanjae (p. 385), Nyassaland into Melanje, type in Brit. Mus.; C. vumbui (p. 386),...

Portugalov, S.O., 1954: Correction of asymmetry of the legs by shortening of the normal leg. Khirurgiia 9: 53-58

Li, J.; Wang, X-feng., 2012: Application of ureteral realignment under the guidance of ureteroscope in iatrogenic ureteral injuries. To determine the value of ureteral realignment under ureteroscope in the treatment of iatrogenic ureteral injury. In the study, 14 cases of ureteral injury were caused by gynecological laparoscopic surgery, with mean age being 46 (24 to 71) years....

Li, Y.; Ye, F.; Wang, A.; Wang, D.; Yang, B.; Zheng, Q.; Sun, G.; Gao, X., 2016: Chronic Arsenic Poisoning Probably Caused by Arsenic-Based Pesticides: Findings from an Investigation Study of a Household. In addition to naturally occurring arsenic, man-made arsenic-based compounds are other sources of arsenic exposure. In 2013, our group identified 12 suspected arsenicosis patients in a household (32 living members). Of them, eight members were dia...

Belka, M., 1993: Industry case study: Poland. Food-processing industry - chocolate and confectionery. The food processing industry has been one of the healthiest sectors of the Polish manufacturing industry during the period of transition, and the confectionery and sweets-producing industry has been, alongside meat processing, one of the more succ...

Kudryashov B.A.; Ul'yanov A.M.; Lyapina L.A., 1986: Functional changes in the state of the insulin system of animals after intravenous administration of diabetogenic factor. Natural diabetogenic factor, which is albumin with molecular mass 60,000 Da, occurring in blood plasma of rats impaired with alloxan diabetes, caused a stable hyperglycemia, distinct decrease of insulin in blood and increased the body resistance t...

Daniels P.; Watkins S.; Kahlon J.; Hart R.; Horan A.C.; Gullo V.; Schwartz J.; Whitley R.J.; Shannon W.M., 1990: Effect of natural products of various microbial fermentations from schering plough corporation on the replication of hiv 1 as measured by cpe inhibition assays in infected cells. Antiviral Research (SUPPL 1): 80

Fenig, J.; Arlen, M.; Livingston, S.F.; Levowitz, B., 1976: Breast neoplasms: a microcarcinoma in the second breast. Gynakologische Rundschau 16(1): 28-31

Trepczynska, A.A., 1983: Resistance to bacterial diseases in leguminous crops. Examples drawn from the literature of sources of resistance include resistance to Pseudomonas phaseolicola race 2 in the French bean line PI150414, to P. syringae in line WBR133 (dependent on light conditions), to some strains of Xanthomonas phase...

Schiotz, A., 1989: Collecting of coral reef fish: good or bad?. Bulletin de l'Institut Oceanographique (Monaco): 383-388 Numero special 5