| Theme |
Future Perspectives of Therapeutic Endoscopy Such as ESD and NOTES |
| Title |
Laparoscopy-Assisted Endoscopic Full-Thickness Resection of the Stomach |
| 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. |