| Theme | Future Perspectives of Therapeutic Endoscopy Such as ESD and NOTES | |
|---|---|---|
| Title | Laparoscopy-Assisted Endoscopic Full-Thickness Resection of the Stomach | |
| Publish Date | 2011/03 | |
| Author | Nobutsugu Abe | Department of Surgery, Kyorin University School of Medicine |
| Author | Hirohisa Takeuchi | Department of Surgery, Kyorin University School of Medicine |
| Author | Atsuko Ohki | Department of Surgery, Kyorin University School of Medicine |
| Author | Hisae Aoki | Department of Surgery, Kyorin University School of Medicine |
| Author | Osamu Yanagida | Department of Surgery, Kyorin University School of Medicine |
| Author | Tadahiko Masaki | Department of Surgery, Kyorin University School of Medicine |
| Author | Toshiyuki Mori | Department of Surgery, Kyorin University School of Medicine |
| Author | Masanori Sugiyama | Department of Surgery, Kyorin University School of Medicine |
| [ Summary ] | We have introduced endoscopic full-thickness resection with laparoscopic assistance (laparoscopy-assisted endoscopic full-thickness resection; LAEFR) for treatment of gastric submucosal tumor (SMT) and early-stage gastric cancer. LAEFR may be considered as one of the so-called "hybrid NOTES (natural orifice translumenal endoscopic surgery)" because a peroral endoscope advances into the peritoneal cavity. LAEFR enabled whole-layer excision as small as possible with an adequate margin. We believe that LAEFR is a safe and minimally invasive treatment for selected patients with gastric SMT or early-stage gastric cancer, and could be a more reasonable and economical alternative to other laparoscopic procedures. | |