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首页> 外文期刊>Surgical Endoscopy >Endoscopy-assisted gastric resection: a safe and reliable procedure for tumor clearance during laparoscopic high distal or proximal gastrectomy.
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Endoscopy-assisted gastric resection: a safe and reliable procedure for tumor clearance during laparoscopic high distal or proximal gastrectomy.

机译：内窥镜辅助胃切除术：腹腔镜高位远端或近端胃切除术中肿瘤清除的安全可靠程序。

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BACKGROUND: Preoperative endoscopic tattooing or clipping is generally used to delineate the tumor-free margin in surgery for early gastric cancer. However, it is sometimes difficult to identify the line of resection during laparoscopic gastrectomy. METHODS: Between June 2003 and February 2008, we performed a total of 12 endoscopy-assisted gastric resections during laparoscopic gastrectomy for cancer, including four cases of high distal gastrectomy and eight cases of proximal gastrectomy. In the laparoscopic high distal gastrectomy cases, a surgeon performed transduodenal endoscopy to identify the clips before gastric resection. For totally laparoscopic proximal gastrectomy, an endoscopist performed transoral endoscopy to identify the clips placed in the distal margin of the lesion and to facilitate intracorporeal anastomosis. RESULTS: In all cases, we were able to observe clips as well as the primary lesion. Gastric resection was successfully performed with no positive margin. In the high distal gastrectomy group (n = 4), proximal and distal margins were 19.5 +/- 2.1 (range, 10-35) mm and 1,185 +/- 190.9 (range, 850-1,320) mm, respectively. In the proximal gastrectomy group (n = 8), proximal and distal margins were 21.3 +/- 7.1 (range, 5-38) mm and 47.5 +/- 3.5 (range, 15-75) mm, respectively. The intracorporeal side-to-side anastomosis during proximal gastrectomy was successfully performed using an endolinear stapler. CONCLUSIONS: Endoscopy-assisted gastric resection is a safe and reliable procedure for tumor clearance during laparoscopic high distal or proximal gastrectomy.
机译：背景：术前内镜下纹身或剪裁通常用于描述早期胃癌手术中无肿瘤的边缘。但是，有时在腹腔镜胃切除术中很难确定切除线。方法：从2003年6月至2008年2月，我们在腹腔镜胃癌切除术中共进行了12例内镜辅助胃切除术，其中包括4例高位远端胃切除术和8例近端胃切除术。在腹腔镜高位远端胃切除术中，外科医生在进行胃切除之前进行了十二指肠内窥镜检查以识别夹子。对于完全腹腔镜近端胃切除术，内镜医师进行经口内窥镜检查以识别位于病变远端边缘的夹子，并促进体内吻合。结果：在所有情况下，我们都能够观察到夹子以及原发灶。胃切除术成功进行，无阳性切缘。在高位远端胃切除术组（n = 4）中，近端和远端切缘分别为19.5 +/- 2.1（范围10-35）mm和1,185 +/- 190.9（范围850-1320）mm。在近端胃切除术组（n = 8）中，近端和远端切缘分别为21.3 +/- 7.1（范围为5-38）mm和47.5 +/- 3.5（范围为15-75）mm。使用线性吻合器成功进行了近端胃切除术中的体内侧到侧吻合。结论：内窥镜辅助胃切除术是腹腔镜高位远端或近端胃切除术中清除肿瘤的一种安全可靠的方法。

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