Laparoscopic and endoscopic cooperative surgery for full-thickness resection and sentinel node dissection for early gastric cancer  

作　　者：Serafino Vanella Maria Godas Joaquim Costa Pereira Ana Pereira Ivano Apicella Francesco Crafa 

机构地区：[1]Department of General and Oncology Surgery,St.Giuseppe Moscati Hospital,Avellino 83100,Italy [2]Department of General Surgery,Hospital de Braga,Braga 4710-243,Portugal

出　　处：《World Journal of Gastrointestinal Endoscopy》2022年第8期508-511,共4页世界胃肠内镜杂志（英文版）（电子版）

摘　　要：The endoscopic submucosal dissection(ESD)technique has become the gold standard for submucosal tumors that have negligible risk of lymph node metastasis(LNM),due to its minimal invasiveness and ability to improve quality of life.However,this technique is limited in stage T1 cancers that have a low risk of LNM.Endoscopic full thickness resection can be achieved with laparoscopic endoscopic cooperative surgery(LECS),which combines laparoscopic gastric wall resection and ESD.In LECS,the surgical margins from the tumor are clearly achieved while performing organ-preserving surgery.To overcome the limitation of classical LECS,namely the opening of the gastric wall during the procedure,which increases the risk of peritoneal tumor seeding,non-exposed endoscopic wall-inversion surgery was developed.With this full-thickness resection technique,contact between the intra-abdominal space and the intragastric space was eliminated.

关 键 词：Endoscopic submucosal dissection Laparoscopic endoscopic cooperative surgery Non-exposed endoscopic wall-inversion surgery Early gastric cancer Nodal basin evaluation 

分 类 号：R735.2[医药卫生—肿瘤]