Clinical Gastroenterology Vol.30 No.12(3-2)

Theme New Developments in Laparoscopy and Endoscopy Cooperative Surgery (LECS)
Title Closed LECS
Publish Date 2015/11
Author Masahiko Nishizaki Department of Gastroenterological Surgery, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences
Author Shinji Kuroda Department of Gastroenterological Surgery, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences
Author Hiroshi Kato Department of Surgery, Tottori Municipal Hospital
Author Toshihisa Matsumura Department of Surgery, Tsuyama Chuo Hospital
Author Hiroyuki Okada Department of Gastroenterology and Hepatology, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences
Author Toshiyuki Fujiwara Department of Gastroenterological Surgery, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences
[ Summary ] An adequate partial gastrectomy using a minimally invasive technique can be performed for treatment of submucosal gastric tumors by classical LECS (laparoscopy and endoscopy cooperative surgery). There remains an unresolved problem of the potential risk of intraabdominal dissemination in Classical LECS because of exposure of tumor surface and leakage of gastric juice into the abdominal cavity. We describe here our notable method named closed LECS expanded upon classical LECS to prevent intraabdominal dissemination.
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