Endoscopic Full-Thickness Resection Combined with Laparoscopic Surgery

Endoscopic full-thickness resection combined with laparoscopic surgery was recently developed. These procedures could be categorized as “Cut first and then suture” and “Suture first and then cut”. “Cut first and then suture” includes laparoscopic and endoscopic cooperative surgery (LECS) and laparos...

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Main Author: Chan Gyoo Kim
Format: Article
Language:English
Published: Korean Society of Gastrointestinal Endoscopy 2018-01-01
Series:Clinical Endoscopy
Subjects:
Online Access:http://www.e-ce.org/upload/pdf/ce-2017-153.pdf
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author Chan Gyoo Kim
author_facet Chan Gyoo Kim
author_sort Chan Gyoo Kim
collection DOAJ
description Endoscopic full-thickness resection combined with laparoscopic surgery was recently developed. These procedures could be categorized as “Cut first and then suture” and “Suture first and then cut”. “Cut first and then suture” includes laparoscopic and endoscopic cooperative surgery (LECS) and laparoscopy-assisted endoscopic full-thickness resection (LAEFR). Recent studies have demonstrated the safety and efficacy of LECS and LAEFR. However, these techniques are limited by the related exposure of the tumor and gastric mucosa to the peritoneal cavity and manipulation of these organs, which could lead to viable cancer cell seeding and the spillage of gastric juice into the peritoneal cavity. In the “Suture first and then cut” technique, the serosal side of the stomach is sutured to invert the stomach and subsequently endoscopic resection is performed. In this article, details of these techniques, including their advantages and limitations, are described.
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spelling doaj.art-2e51335f13ed4f378e97e2d5462c2a9c2023-11-02T01:01:03ZengKorean Society of Gastrointestinal EndoscopyClinical Endoscopy2234-24002234-24432018-01-01511333610.5946/ce.2017.1537064Endoscopic Full-Thickness Resection Combined with Laparoscopic SurgeryChan Gyoo KimEndoscopic full-thickness resection combined with laparoscopic surgery was recently developed. These procedures could be categorized as “Cut first and then suture” and “Suture first and then cut”. “Cut first and then suture” includes laparoscopic and endoscopic cooperative surgery (LECS) and laparoscopy-assisted endoscopic full-thickness resection (LAEFR). Recent studies have demonstrated the safety and efficacy of LECS and LAEFR. However, these techniques are limited by the related exposure of the tumor and gastric mucosa to the peritoneal cavity and manipulation of these organs, which could lead to viable cancer cell seeding and the spillage of gastric juice into the peritoneal cavity. In the “Suture first and then cut” technique, the serosal side of the stomach is sutured to invert the stomach and subsequently endoscopic resection is performed. In this article, details of these techniques, including their advantages and limitations, are described.http://www.e-ce.org/upload/pdf/ce-2017-153.pdfEndoscopic full-thickness resectionLaparoscopic and endoscopic cooperation surgeryNon-exposed endoscopic wall-inversion surgeryNon-exposure simple suturing endoscopic full-thickness resection
spellingShingle Chan Gyoo Kim
Endoscopic Full-Thickness Resection Combined with Laparoscopic Surgery
Clinical Endoscopy
Endoscopic full-thickness resection
Laparoscopic and endoscopic cooperation surgery
Non-exposed endoscopic wall-inversion surgery
Non-exposure simple suturing endoscopic full-thickness resection
title Endoscopic Full-Thickness Resection Combined with Laparoscopic Surgery
title_full Endoscopic Full-Thickness Resection Combined with Laparoscopic Surgery
title_fullStr Endoscopic Full-Thickness Resection Combined with Laparoscopic Surgery
title_full_unstemmed Endoscopic Full-Thickness Resection Combined with Laparoscopic Surgery
title_short Endoscopic Full-Thickness Resection Combined with Laparoscopic Surgery
title_sort endoscopic full thickness resection combined with laparoscopic surgery
topic Endoscopic full-thickness resection
Laparoscopic and endoscopic cooperation surgery
Non-exposed endoscopic wall-inversion surgery
Non-exposure simple suturing endoscopic full-thickness resection
url http://www.e-ce.org/upload/pdf/ce-2017-153.pdf
work_keys_str_mv AT changyookim endoscopicfullthicknessresectioncombinedwithlaparoscopicsurgery