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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Format: | Article |
Language: | English |
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Korean Society of Gastrointestinal Endoscopy
2018-01-01
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Series: | Clinical Endoscopy |
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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. |
first_indexed | 2024-03-11T14:07:59Z |
format | Article |
id | doaj.art-2e51335f13ed4f378e97e2d5462c2a9c |
institution | Directory Open Access Journal |
issn | 2234-2400 2234-2443 |
language | English |
last_indexed | 2024-03-11T14:07:59Z |
publishDate | 2018-01-01 |
publisher | Korean Society of Gastrointestinal Endoscopy |
record_format | Article |
series | Clinical Endoscopy |
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 |