Laparoscopic and endoscopic cooperative surgery for full-thickness resection and sentinel node dissection for early gastric cancer
作者机构：Department of General and Oncology SurgerySt.Giuseppe Moscati HospitalAvellino 83100Italy Department of General SurgeryHospital de BragaBraga 4710-243Portugal
出 版 物：《World Journal of Gastrointestinal Endoscopy》 (世界胃肠内镜杂志（英文版）（电子版）)
年 卷 期：2022年第14卷第8期
页 面：508-511页
学科分类：1002[医学-临床医学] 100214[医学-肿瘤学] 10[医学]
主 题：Endoscopic submucosal dissection Laparoscopic endoscopic cooperative surgery Non-exposed endoscopic wall-inversion surgery Early gastric cancer Nodal basin evaluation
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 ***,this technique is limited in stage T1 cancers that have a low risk of *** full thickness resection can be achieved with laparoscopic endoscopic cooperative surgery(LECS),which combines laparoscopic gastric wall resection and *** LECS,the surgical margins from the tumor are clearly achieved while performing organ-preserving *** 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 *** this full-thickness resection technique,contact between the intra-abdominal space and the intragastric space was eliminated.
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