Minimally invasive surgery for gastric carcinoid tumor.
Minimally invasive laparoscopic wedge resection for gastric mucosal carcinoma and submucosal tumor was first performed in Keio University hospital in 1992. Since then, 172 gastric tumor patients, including four cases of carcinoid tumor, have been successfully treated at the Keio University hospital using this procedure. No local disease recurrence or distant metastases have been observed in follow-ups over as long as 10 years. Chronic atrophic gastritis patients with carcinoid tumors occurring secondary to hypergastrinemia are candidates for the minimally invasive surgery. With careful patient selection according to tumor size, depth of invasion, and histopathological findings of malignancy grade, endoscopic and laparoscopic therapy for these patients can be a safe, curative, and minimally invasive procedure.
Otani
Yoshihide
Y
Department of Surgery, Keio University School of Medicine, 35 Shinanomachi, Shinjuku, Tokyo 160-8582, Japan. otaniy@sc.itc.keio.ac.jp
Furukawa
Toshiharu
T
Suganuma
Kazuhiro
K
Yoshida
Masashi
M
Saikawa
Yoshiro
Y
Kubota
Tetsuro
T
Kumai
Koichiro
K
Mukai
Makio
M
Kameyama
Kaori
K
Takami
Hiroshi
H
Kitajima
Masaki
M
D002276:Carcinoid Tumor / Q000473:pathology / Q000601:surgery*; D006801:Humans; D019060:Minimally Invasive Surgical Procedures / Q000295:instrumentation / Q000379:methods*; D013274:Stomach Neoplasms / Q000473:pathology / Q000601:surgery*