Laparoscopic approaches in the management of patients with early gastric carcinomas.
In eight Japanese patients, three different laparoscopic procedures were used to excise an early gastric carcinoma; partial resection in four, intragastric resection of the gastric mucosa in two, and laparoscopic-assisted distal partial gastrectomy with the abdominal wall-elevating method in two patients. Histological examinations revealed that the lesions were completely resected, and there was no evidence of lymphatic metastasis. The operation time ranged from 2 to 4 h. These forms of laparoscopic gastric surgery for patients with early gastric carcinomas may be useful from the standpoint of minimal access, rapid recovery, less pain, and good cosmesis.
Kitano
S
S
Department of Surgery I, Oita Medical University, Japan.
Shimoda
K
K
Miyahara
M
M
Shiraishi
N
N
Bandoh
T
T
Yoshida
T
T
Shuto
K
K
Kobayashi
M
M
D000368:Aged; D004867:Equipment Design; D005260:Female; D005500:Follow-Up Studies; D005743:Gastrectomy / Q000295:instrumentation*; D005753:Gastric Mucosa / Q000473:pathology / Q000601:surgery; D006801:Humans; D020706:Laparoscopes; D008297:Male; D011230:Precancerous Conditions / Q000473:pathology / Q000601:surgery*; D013274:Stomach Neoplasms / Q000473:pathology / Q000601:surgery*; D013525:Surgical Instruments; D016896:Treatment Outcome