title: Endoscopic mucosal resection for early cardia cancer by minimum laparotomy.
abstract: Endoscopic mucosal resection (EMR) has been widely accepted as a minimally invasive and standard treatment for early gastric cancers without ulceration or signs of submucosal invasion and meeting the criteria for diameter, macroscopic appearance, and well- or moderately differentiated histology. However, EMR cannot be applied to some cases owing to technical difficulties relating to the intragastric location of the cancers even when the above criteria are satisfied. We report here a new approach to EMR for early cancers of the cardia located close to the esophagocardia junction that are outside the indications for ordinary EMR.
authors.affiliation: Department of Gastroenterologic Surgery, National Kyushu Cancer Center, 3-1-1 Notame, Minami-ku, Fukuoka 811-1395, Japan. kendo@nk-cc.go.jp
authors.forename: Kazuya
authors.initials: K
authors.lastname: Endo
authors.forename: Kenji
authors.initials: K
authors.lastname: Kawamoto
authors.forename: Hideo
authors.initials: H
authors.lastname: Baba
authors.forename: Manabu
authors.initials: M
authors.lastname: Yamamoto
authors.forename: Yasuharu
authors.initials: Y
authors.lastname: Ikeda
authors.forename: Yasushi
authors.initials: Y
authors.lastname: Toh
authors.forename: Shunji
authors.initials: S
authors.lastname: Kohnoe
authors.forename: Takeshi
authors.initials: T
authors.lastname: Okamura
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D002299:Cardia / Q000601:surgery*; D005260:Female; D005753:Gastric Mucosa / Q000601:surgery*; D005773:Gastroscopy / Q000379:methods*; D006801:Humans; D007813:Laparotomy / Q000379:methods*; D019060:Minimally Invasive Surgical Procedures / Q000379:methods; D013274:Stomach Neoplasms / Q000601:surgery*