Summary
We analyzed 445 cases of early gastric cancer to confirm which were associated with lymph-node metastases. Overall, gastric cancers less than 2 cm in size, without an ulcer or ulcer scar, or protuberant or mixed morphology could be expected to be free of lymph-node metastases. In these patients with early gastric cancer without lymph-node metastasis, local treatment using surgical endoscopy could effectively eradicate the disease. Laser irradiation was performed in 44 cases and mucosal resection in 18 cases. All early gastric cancers less than 2 cm in size, with the exception of those located in the prepylorus or high on the posterior wall of the body of the stomach were eradicated by laser irradiation. Mucosal resection was used to ablate cancers less than 1 cm in size and with the exception of 1 case, total clearance was obtained. We conclude that early gastric cancer without lymph-node metastases can be eradicated by surgical endoscopic treatment.
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References
Hiki Y (1984) Current endoscopic therapy of the digestive tract. Asian Med J 27: 661–663
Hiki Y, Sakakibara Y (1987) Current state of diagnosis and therapy of early stage gastric cancer in Japan. Dig Surg 4: 61–66
Hiki Y, Yamao T, Shimao H (1987) Endoscopic therapy of gastric cancer using a high-power laser. In: Takemoto T, Kawai K (eds) Recent topics of digestive endoscopy. Excerpta Medica, Amsterdam, pp 121–126
Hiki Y, Shimao H, Yamao T, Kobayashi N, Kuranami M, Kikuchi S, Atusumi S, Mieno H, Takahashi T, Sakakibara Y (1989) The concepts, procedures, and problems related in endoscopic laser therapy in early gastric cancer. Endosc Surg 3: 1–6
Kuroda Y (1988) Endoscopic application of Nd: YAG laser for early gastric cancer in surgical high risk patients. In: Takemoto T (ed) Nd: YAG laser in medicine and surgery. The proceedings of a seminar for professional postgraduate services, pp 162–165
Oguro Y (1988) The present status of YAG laser medicine in Japan — endoscopic laser treatment for GI cancer. In: Takemoto T (ed) Nd: YAG laser in medicine and surgery. The proceedings of a seminar for professional postgraduate services, pp 3–9
Sato A (1988) Evaluation of endoscopic Nd: YAG laser treatment for early gastric carcinoma. In: Takemoto T (ed) Nd: YAG laser in medicine and surgery. The proceedings of a seminar for professional postgraduate services, pp 147–151
Takemoto T (1986) Laser therapy of early gastric carcinoma. Endoscopy 18: 32–36
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Hiki, Y., Sakakibara, Y., Mieno, H. et al. Endoscopic treatment of gastric cancer. Surg Endosc 5, 11–13 (1991). https://doi.org/10.1007/BF00591379
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DOI: https://doi.org/10.1007/BF00591379