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01-02-2015 | Original Article

Successful laparoscopic gastric resection and safe introduction of a single-incision technique for gastric submucosal tumors located near the esophagogastric junction

Authors: Shingo Kanaji, Tetsu Nakamura, Masashi Yamamoto, Tatsuya Imanishi, Satoshi Suzuki, Kenichi Tanaka, Daisuke Kuroda, Yoshihiro Kakeji

Published in: Surgery Today | Issue 2/2015

Abstract

Purpose

Laparoscopic gastric resection cannot be easily applied for submucosal tumors near the esophagogastric junction (NEJ-SMTs). Furthermore, there have been no reports of single-incision laparoscopic surgery (SILS) for NEJ-SMTs. We evaluated our laparoscopic surgical outcomes for NEJ-SMTs, including a newly introduced phase of SILS.

Methods

We retrospectively reviewed a total of 18 patients diagnosed with NEJ-SMTs who underwent laparoscopic surgery between April 2002 and September 2013.

Results

All patients underwent laparoscopic gastric resection without local complications and with a negative surgical margin, including 12 patients treated with conventional laparoscopic surgery (CLS) and six patients treated with SILS. The mean length of the operation was 184.3 ± 52.3 min, and the mean blood loss was 19.2 ± 17.7 mL. All patients underwent complete resection. There were no statistically significant differences between the CLS and SILS groups in terms of the surgical outcomes.

Conclusion

Despite this challenging location of the tumor, laparoscopic gastric resection for NEJ-SMTs is safe and feasible. Furthermore, SILS can provide a better cosmetic result, which can lead to better global patient satisfaction in carefully selected patients with NEJ-SMTs.

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Title: Successful laparoscopic gastric resection and safe introduction of a single-incision technique for gastric submucosal tumors located near the esophagogastric junction
Authors: Shingo Kanaji
Tetsu Nakamura
Masashi Yamamoto
Tatsuya Imanishi
Satoshi Suzuki
Kenichi Tanaka
Daisuke Kuroda
Yoshihiro Kakeji
Publication date: 01-02-2015
Publisher: Springer Japan
Published in: Surgery Today / Issue 2/2015
Print ISSN: 0941-1291
Electronic ISSN: 1436-2813
DOI: https://doi.org/10.1007/s00595-014-0940-2

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Successful laparoscopic gastric resection and safe introduction of a single-incision technique for gastric submucosal tumors located near the esophagogastric junction

Abstract

Purpose

Methods

Results

Conclusion

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Purpose

Methods

Results

Conclusion

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