Laparoscopic Surgery for Submucosal Tumor Near the Esophagogastric Junction

2013 ◽  
Vol 23 (3) ◽  
pp. 225-230 ◽  
Author(s):  
Hee Sung Kim ◽  
Min Gyu Kim ◽  
Beom Su Kim ◽  
In Seob Lee ◽  
Sol Lee ◽  
...  
Keyword(s):  
Laparoscopic Surgery ◽  
Esophagogastric Junction ◽  
Submucosal Tumor

scholarly journals Two cases of intraoperative hemodynamic instability during combined thoracoscopic-laparoscopic surgery for esophagogastric junction carcinoma

2021 ◽  
Vol 7 (1) ◽  
Author(s):  
Makiko Tani ◽  
Yoshikazu Matsuoka ◽  
Mayu Sugihara ◽  
Ayaka Fujii ◽  
Tomoyuki Kanazawa ◽  
...  
Keyword(s):  
Laparoscopic Surgery ◽  
Esophagogastric Junction ◽  
Intraoperative Complications ◽  
Proximal Gastrectomy ◽  
Tension Pneumothorax ◽  
Hemodynamic Instability ◽  
Laparoscopic Proximal Gastrectomy ◽  
Surgical Field ◽  
Coronary Ischemia ◽  
Thoracic And Abdominal

Abstract Background Intraoperative complications during combined thoracoscopic-laparoscopic surgery for esophagogastric junction (EGJ) carcinoma have not been reported as compared to those during surgery for esophageal carcinoma. We present two cases which had surgery-related hemodynamic instability during laparoscopic proximal gastrectomy and intra-mediastinal valvuloplastic esophagogastrostomy (vEG) with thoracoscopic mediastinal lymphadenectomy for EGJ carcinoma. Case presentation In case 1, the patient fell into hypotension with hypoxemia during laparoscopic vEG due to pneumothorax caused by entry of intraabdominal carbon dioxide. In case 2, ventricular arrythmia and ST elevation occurred during laparoscopic vEG. Pericardium retraction to secure surgical field during reconstruction compressed the coronary artery, which caused coronary malperfusion. These two events were induced by the surgical procedure, characterized by the following: (1) connection of the thoracic and abdominal cavities and (2) cardiac displacement during vEG. Conclusion These cases indicated tension pneumothorax and coronary ischemia are possible intraoperative complications specific to combined thoracoscopic-laparoscopic surgery for EGJ carcinoma.

Various fashions of laparoscopic resection for gastrointestinal stromal tumors in esophagogastric junction.

2017 ◽  
Vol 35 (15_suppl) ◽  
pp. e22512-e22512
Author(s):  
Wenjun Xiong ◽  
Wei Wang ◽  
Jin Wan
Keyword(s):  
Laparoscopic Surgery ◽  
Gastrointestinal Stromal Tumors ◽  
Esophagogastric Junction ◽  
Laparoscopic Resection ◽  
Stomach Wall ◽  
Linear Stapler ◽  
Stromal Tumors ◽  
Estimated Blood Loss ◽  
Laparoscopic Proximal Gastrectomy ◽  
The Mean

e22512 Background: Laparoscopic surgery for small (<5 cm) gastric gastrointestinal stromal tumors (GIST) is now widely performed. However, laparoscopic resection of GIST in esophagogastric junction is technically difficult. Herein, we introduce various fashion of laparoscopic resection for small GIST in esophagogastric junction. Methods: Retrospective review of 40 consecutive patients with small GIST in esophagogastric junction who underwent attempted laparoscopic surgery. GIST in esophagogastric junction was defined as that the distance of the upper border of GIST from esophagogastric line was less than 2 cm. Three fashions of laparoscopic resection were performed: fashion A, laparoscopic wedge resection using linear stapler; fashion B, laparoscopic complete resection by opening the stomach wall and the stomach wall incision was closed with suture; fashion C, laparoscopic proximal gastrectomy with pyloroplasty. The data of clinicopathologic characteristics, operative course and short-term outcomes were analyzed. Results: All procedures were finished successfully and no operative relatively complication was recorded. Tumor in 24/40 (60%) patients was located in greater curvature. 70.1% (17/24) of them received fashion A and others (7/24) underwent fashion B. Tumor in 16/40 (40%) patients was located in lesser curvature. 18.8% (3/16) of them underwent fashion C and others (13/16) underwent fashion B. The mean operative time was 97.4±21.3 min and the mean estimated blood loss was 20.5±10.4 ml. The mean first time of flatus was 39.2±10.0 hours and the time of fluid intake was 40.1±11.7 hours. The mean hospital stay was 4.2±1.3 days. The mean diameter of tumor was 2.7±1.0 cm. Conclusions: Laparoscopic surgery for small GIST in esophagogastric junction is safe and feasible. The selection of various laparoscopic resection fashions was according to the tumor location.

Laparoscopic versus open surgery for gastrointestinal stromal tumor in esophagogastric junction: A multi-center, retrospective cohort analysis with propensity score matching.

2020 ◽  
Vol 38 (15_suppl) ◽  
pp. 11534-11534
Author(s):  
Wenjun Xiong ◽  
Tao Chen ◽  
Xingyu Feng ◽  
Yuting Xu ◽  
Jin Wan ◽  
...  
Keyword(s):  
Laparoscopic Surgery ◽  
Propensity Score ◽  
Blood Loss ◽  
Gastrointestinal Stromal Tumor ◽  
Propensity Score Matching ◽  
Open Surgery ◽  
Esophagogastric Junction ◽  
Operative Time ◽  
Liquid Intake

11534 Background: Laparoscopic resection is increasingly performed for Gastrointestinal stromal tumor (GIST). Nevertheless, laparoscopic approach for the GIST located in the esophagogastric junction (EGJ-GIST) represent a surgical challenge. This study aims to investigate the efficacy of laparoscopic surgery and open procedure for EGJ-GIST through the propensity score matching (PSM) method. Methods: Between April 2006 and April 2018, 1824 patients underwent surgery were finally diagnosed with primary gastric GIST at four medical centers in South China. EGJ-GIST was defined as a GIST with an upper border of less than 5 cm from the EG line. Among them, 228 patients were identified and retrospectively reviewed with regard to clinicopathological characteristics, operative information and long-term outcomes. The PSM methods was used to eliminate the selection bias. Results: After PSM, 102 cases, consisted of 51 laparoscopic (LA) and 51 open surgery (OP), were enrolled. The match factors contained year of surgery, gender, age, BMI, tumor size, mitotic rate, recurrence risk and adjuvant tyrosine kinase inhibitors treatment. The LA group was superior to the OP group in operative time (108.5±56.5 vs. 169.3±79.0 min, P <0.001), blood loss (54.6±81.9 vs. 104.9±156.4 ml, P = 0.042), time to liquid intake (3.1±1.8 vs. 4.3±2.2 d, P = 0.003), hospital stay (6.0±2.3 vs. 9.9±8.1, P = 0.001), and postoperative complication (5.9% vs. 25.5%, P = 0.006). The median follow-up was 55 (range, 2-153) months in the entire cohort. No significant differences were detected in either the relapse-free survival (RFS, P = 0.109) or overall survival (OS, P = 0.113) between two groups. The 1-, 3-, and 5-year RFS in the LA and OP groups were 100.0%, 95.5%, 91.0% and 100.0%, 90.8%, 85.7%, respectively. The 1-, 3-, and 5-year OS in the LA and OP group were 100%, 95.6%, 91.3% and 100.0%, 91.1%, 85.4%, respectively. Conclusions: Laparoscopic surgery for EGJ-GIST is associated with the advantages of shorter operative time, reduced blood loss, shorter time to liquid intake and shorter length of stay, all without compromising post-operative outcomes and long-term survival.

Laparoscopic surgery for submucosal tumors located at the esophagogastric junction and the prepylorus

2008 ◽  
Vol 23 (9) ◽  
pp. 1980-1987 ◽  
Author(s):  
Sun-Hwi Hwang ◽  
Do Joong Park ◽  
Young Hoon Kim ◽  
Kyoung Ho Lee ◽  
Hye Seung Lee ◽  
...  
Keyword(s):  
Laparoscopic Surgery ◽  
Esophagogastric Junction ◽  
Submucosal Tumors

Laparoscopic Transgastric Tumor-everting Resection of the Gastric Submucosal Tumor Located Near the Esophagogastric Junction

2004 ◽  
Vol 14 (6) ◽  
pp. 344-348 ◽  
Author(s):  
Nobuhiro Morinaga ◽  
Akihiko Sano ◽  
Kazuhisa Katayama ◽  
Kazuya Suzuki ◽  
Koji Kamisaka ◽  
...  
Keyword(s):  
Esophagogastric Junction ◽  
Submucosal Tumor ◽  
Gastric Submucosal Tumor

scholarly journals Laparoscopic transgastric resection of gastric submucosal tumor located near the esophagogastric junction

2018 ◽  
Vol 2 (4) ◽  
pp. 6
Author(s):  
Pablo Priego ◽  
Marta Cuadrado ◽  
Francisca García-Moreno ◽  
Pedro Carda ◽  
Julio Galindo
Keyword(s):  
Esophagogastric Junction ◽  
Submucosal Tumor ◽  
Gastric Submucosal Tumor

Single-Incision Laparoscopic Surgery for Partial Gastrectomy in Patients with a Gastric Submucosal Tumor

2012 ◽  
Vol 78 (4) ◽  
pp. 447-450 ◽  
Author(s):  
Tsunehiro Takahashi ◽  
Hiroya Takeuchi ◽  
Hirofumi Kawakubo ◽  
Yoshiro Saikawa ◽  
Norihito Wada ◽  
...  
Keyword(s):  
Laparoscopic Surgery ◽  
Gastrointestinal Stromal Tumor ◽  
Single Incision ◽  
Submucosal Tumor ◽  
Partial Gastrectomy ◽  
Stromal Tumor ◽  
Pathological Examination ◽  
Single Incision Laparoscopic Surgery ◽  
Gastric Submucosal Tumor ◽  
Vessel Sealing

Since 2010, we have used single-incision laparoscopic surgery (SILS) for patients with a gastric submucosal tumor, as a less invasive alternative to conventional laparoscopy. From September 2010 to January 2011, five patients underwent a local resection for a gastric submucosal tumor using a SILS™ port at Keio University Hospital. We performed partial gastrectomy via the SILS™ port using a 5 mm flexible endoscope, a vessel sealing system, and a stapling device. There were no major intraoperative complications, conversion to laparotomy, or cases of tumor rapture. The average operative time was 89 (range, 72–129) minutes with minimal blood loss. Pathological examination revealed four cases of gastrointestinal stromal tumor and one case of inflammatory fibrosis caused by nonspecific inflammation. Although we examined only a small number of cases in this study, the results suggested that SILS gastrectomy can be performed safely and effectively for gastrointestinal stromal tumor.

scholarly journals Endoscopic resection of giant gastrointestinal stromal tumor at the esophagogastric junction: a case report

2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Feng Xue ◽  
Wei Wang ◽  
Ning Shi ◽  
Xing-Bin Ma ◽  
Cheng-Xia Liu
Keyword(s):  
Endoscopic Resection ◽  
Esophagogastric Junction ◽  
Submucosal Tumor ◽  
Stromal Tumor ◽  
Upper Gastrointestinal Endoscopy ◽  
Case Presentation ◽  
Invasive Method ◽  
Endoscopic Submucosal Excavation ◽  
Upper Gastrointestinal ◽  
Abdominal Fullness

Abstract Background Gastrointestinal stromal tumors (GISTs) at the esophagogastric junction are rare and its treatment is complicated and challenging. Endoscopic resection has advantages with less complications compared to open and laparoscopic surgery. Case presentation We report a 33-year-old male patient who was admitted to our department complaining of abdominal fullness for 20 days. A huge submucosal tumor at the esophagogastric junction was found by upper gastrointestinal endoscopy. We successfully resected the lesion through endoscopic submucosal excavation without complications, which was pathologically confirmed to be a GIST. The patient was discharged 5 days after operation and has been doing well, and there was no recurrence 8 months after the operation. Conclusion ESE is possibly an effective and minimally invasive method of giant esophagogastric junction stromal tumor.

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