J.Jpn. Surg. Soc.
ISSN 1880-1129

[Abstract] [Full Text PDF] （in Japanese / 4759KB） [Members Only And Two Factor Auth.]

J.Jpn. Surg. Soc.. 97(4): 279-285, 1996

Feature topic

LAPAROSCOPIC SURGERY FOR EARLY GASTRIC CANCER

1) Department of Surgery, Keio University, School of Medicine, Tokyo, Japan
2) Center for Diagnostic and Therapeutic Endoscopy, Keio University Hospital , Tokyo, Japan

Masahiro Ohgami1), Yoshihide Otani1), Koichiro Kumai2), Tetsuro Kubota1), Masaki Kitajima1)2)

We have successfully treated 40 patients with early gastric cancer by using two different laparoscopic procedures since March 1992, which are laparoscopic wedge resection of the stomach using a lesion-lifting method (n=25) and laparoscopic intragastric mucosal resection (n=15). The indication is as follows ; 1) mucosal cancer, 2) ＜25 mm, if the lesion is protruded type, 3) ＜15 mm and U1(-), if the lesion is depressive type.
All patients were discharged within 4-8 days uneventfully. The resected specimens were 66±16 mm and 48±8 mm in diameter respectively, and had a sufficient surgical margin horizontally (16±5mm, 8± 4mm) and verticaIly. Histology revealed they were all curative surgeries except one case in whom an additional gastrectomy with lymph node dissection by laparotomy was required one month after surgery because Iymphatic invasion had been revealed by pathology.
In conclusion, these laparoscopic procedures are curative and minimally invasive treatment for early gastric cancer.

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