Outcome of Laparoscopic Gastrectomy for Gastric Cancer
As less-invasive operations have been noted in recent years, laparoscopic gastrectomy for gastric cancer has become popular in Japan. We have performed laparoscopic gastrectomy with regional lymph node dissection on 750 cases of gastric malignancies between March 1998 and August 2007. Here we present the outcome of laparoscopic gastrectomy for gastric cancer..Of all 750 cases,… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Esophageal / Gastric Surgery
Laparoscopy assisted proximal gastrectomy for upper gastric cancer
Since 1993, we applied laparoscopy assisted gastrectomy for gastric cancer and 195 patients were treated until@August, 2007. Laparoscopy assisted distal gastrectomy (LADG) was performed in 150 cases, total gastrectomy in 12 cases, partial gastrectomy in 14 cases and proximal gastrectomy (LAPG) in 19 cases. The indication of LAPG was limited early gastric cancer in upper… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
The effects of obesity by the learning curve for Laparoscopy Assisted Distal Gastrectomy in patient with early gastric cancer
Background. Laparoscopy-assisted distal gastrectomy(LADG) has become a viable alternative treatment for patients suffering with early gastric cancer. Surgeons have long thought that obesity might increase the rate of intraoperative or postoperative complications. We set out to clarify the effect that obesity has on performing LADG for the treatment of early gastric cancer.Methods. We retrospectively reviewed… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
Endoscopic-pathologic Correlation in Patients Undergoing Prophylactic Gastrectomy for Hereditary Diffuse Gastric Cancer (hdgc).
INTRODUCTION: We performed a study of endoscopic-pathologic correlation in patients who have undergone prophylactic gastrectomy for hereditary diffuse gastric cancer (HDGC). HDGC is an autosomal-dominant condition associated with a mutation of the e-cadherin/CDH1 gene and carries about an 80% risk of developing diffuse gastric cancer.METHODS: We reviewed a case series of 16 gene-positive patients who… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
Clinical Outcome of Thoracoscopic Esophagectomy for Patients with Esophageal Cancer: Our 2-year Experience
Introduction: Esophagectomy with extended lymphadenectomy is the principal modality for the cure of esophageal cancer in case the curative resection is possible, and less invasive or minimally invasive surgery has been required to offer less morbidity and favorable prognosis. We have incorporated thoracoscopic esophagectomy into esophageal resection since August 2005. We addressed our procedure which… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
Laparoscopic Resection of Challenging Gastric Tumors
Noninvasive gastric tumors may have malignant potential and should be managed with resection. Large margins are not needed and many can be managed with laparoscopic wedge resection. Tumors along the fundus, anterior wall, and greater curvature of the stomach are approached relatively easily using endoscopic staplers. Tumors near the gastric cardia, lesser curvature and pylorus… Continue Reading
- Topic:
- Esophageal / Gastric Surgery
Laparoscopy-Assisted Combined Resection for Synchronous Gastric and Colorectal Cancer
The incidence of synchronous cancer in gastric cancer patients has been reported to vary from 0.7% to 3.5%. Among them, colorectal cancer represents a most common synchronous cancer. We report here our minimally invasive laparoscopic treatment of synchronous gastric and colorectal cancer.Case 1: A 72-year-old male with colon polyp underwent upper GI endoscopy that revealed… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
Combined Prone Thoracoscopy and Supine Laparoscopy for treatment of an Epiphrenic Diverticulum
The laparoscopic treatment of epiphrenic diverticula via a totally abdominal approach has been well described. One of the challenges of the laparoscopic approach to the treatment of large epiphrenic diverticula has been safe and adequate proximal dissection. Thoracoscopy provides another means of accessing the mid to distal esophagus, while addition of this modality allows for… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Esophageal / Gastric Surgery
Long term result of Laparoscopy assisted gastrectomy for early gastric cancer
Background: Long term result of surgical treatment for malignancy is the most important thing even in the minimum invasive surgery. Laparoscopic gastric cancer surgery was performed widely, but its long term reults are still umknown.Method: We performed 262 cases of laparoscopy-assisted gastrectomy (LAG) for gastric cancer since 1996, while its indication was gradually expanded. We… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
Minimally Invasive Ivor Lewis Esophagectomy
This video illustrates the preferred technique for minimally invasive esophagectomy at the University of Pittsburgh. Previously, our described technique included mobilization of the esophagus via thoracoscopy, laparoscopic creation of the gastric tube and construction of a cervical esophagogastric anastomosis. Although we have reported excellent outcomes with this technique, we have since modified the procedure to… Continue Reading
- Topic:
- Esophageal / Gastric Surgery
Factors influencing operation time of laparoscopy-Assisted distal subtotal gastrectomy: A large-scale Korean multicenter study
Purpose: There is little information on patient selection criteria for laparoscopy-assisted distal gastrectomy (LADG) that would facilitate a successful initial experience for a surgeon new to the procedure. The aims of this multicenter study were to assess the effect between operation time and frequency of LADG and determine patient selection criteria that will allow increased… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
A Randomized Controlled Trial of Laparoscopic Nissen Fundoplication (LNF) versus Proton Pump Inhibitors for Treatment of Patients with Chronic Gastro-Esophageal Reflux Disease (GERD)
Objective: In patients with GERD who were stable and symptomatically controlled on long-term medical therapy we performed an RCT to compare ongoing optimized medical therapy with LNF.Methods: 201 patients were eligible for randomization, 104 gave informed consent (age mean 42.9, sd11; male 55 female 49) and 2 withdrew from the study immediately after randomization. Patients… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Esophageal / Gastric Surgery
Esophageal Manometric Characteristics and Outcomes for Laparoscopic Esophageal Diverticulectomy, Myotomy and Partial Fundoplication for Epiphrenic Diverticula
Introduction: The purpose of this study is to characterize the esophageal motor and lower esophageal sphincter (LES) abnormalities associated with epiphrenic esophageal diverticula and analyze outcomes for laparoscopic esophageal diverticulectomy, myotomy and partial fundoplication.Methods: Endoscopic, radiographic, manometric and perioperative records for patients undergoing laparoscopic esophageal diverticulectomy, anterior esophageal myotomy and partial fundoplication from 8/99-9/06 were… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Esophageal / Gastric Surgery
Laparoscopic Resection of Gastrointestinal Stromal Tumors Located at the Gastroesophageal Junction
IntroductionGastrointestinal stromal tumors are the most common mesenchymal neoplasm of the GI tract, and 60% of GISTs occur in the stomach. The mainstay of treatment for GI stromal tumors is surgical resection with negative margins, with use of Gleevac reserved for metastatic or unresectable disease. Tumors located at the gastroesophageal junction have traditionally been problematic… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
Laparoscopic Gastric Surgery for Neoplasia: Are we going ahead?
INTRODUCTION: In Colorectal cancer, the increasing evidence in the literature shows improved outcome following laparoscopic surgery. However, the evidence and outcome on laparoscopic gastric surgery is limited. The purpose of this study was to assess our initial experience with laparoscopic gastric surgery for malignancy. METHODS AND PROCEDURES: Between Sept 2003 to Aug 2007 there were… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery