Laparoscopic Operation of Gastric and Gastroesophageal Junction Disease (Report of 59 Cases)_CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Authors：

FAN Ying , WU Shuodong , YU Hong , SU Yang , KONG Jing , TIAN Yu.

Department of The First Minimal Invasive Surgery and Bile Duct Surgery, Shengjing Hospital of China Medical University， Shenyang 110004, China;

Corresponding author：

Keywords：

Laparoscopic surgery; Gastric cancer; Gastric stromal tumor; Esophageal achalasia; Esophageal hiatal hernia; Treatment outcome

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Objective To investigate the feasibility and safety of laparoscopic operation of gastric and gastroesophageal junction diseases.
Methods Between May 2004 and June 2009, 59 patients with gastric and gastroesophageal diseases were treated laparoscopically. The operative methods and maneuvers were evaluated and perioperative interventions, complications and efficacy of patients were analyzed.
Results All operations were successfully completed laparoscopically except for one patient with gastric cancer who required a conversion to open surgery. No short-term complications occurred in all cases. No port transplant metastasis occurred for the patients with gastric cancer after an average of 36 months (1-60 months) follow-up. One patient died of liver metastasis 12 months after operation. The 3-year survival rate was 93.3% (14/15). Conclusion Laparoscopic surgery of the gastric and gastroesophageal junction diseases is feasible and safe with minimal invasiveness, which is worth popularizing.

Citation： FAN Ying,WU Shuodong,YU Hong,SU Yang,KONG Jing,TIAN Yu.. Laparoscopic Operation of Gastric and Gastroesophageal Junction Disease (Report of 59 Cases). CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2010, 17(2): 175-179. doi: Copy

1.	Hwang SH, Park do J, Jee YS, et al. Actual 3year survival after laparoscopyassisted gastrectomy for gastric cancer [Ｊ]. Arch Surg, 2009; 144(6): 559564.
2.	Shim JH, Song KY, Kim SN, et al. Laparoscopyassisted distal gastrectomy for overweight patients in the Asian population [Ｊ]. Surg Today, 2009; 39(6): 481486.
3.	Francescutti V, Choy I, Biertho L, et al. Gastrectomy and esophagogastrectomy for proximal and distal gastric lesions: a comparison of open and laparoscopic procedures [Ｊ]. Surg Innov, 2009; 16(2): 134139.
4.	余佩武. 腹腔镜胃癌根治术的原则与评价 [Ｊ]. 中国普外基础与临床杂志, 2009; 16(1): 15.
5.	Strong VE, Devaud N, Allen PJ, et al. Laparoscopic versus open subtotal gastrectomy for adenocarcinoma: a casecontrol study [Ｊ]. Ann Surg Oncol, 2009; 16(6): 15071513.
6.	Tokunaga M, Hiki N, Fukunaga T, et al. Laparoscopyassisted distal gastrectomy with D2 lymph node dissection following standardization-a preliminary study [Ｊ]. J Gastrointest Surg, 2009; 13(6): 10581063.
7.	Matsui H, Okamoto Y, Nabeshima K, et al. Endoscopyassisted gastric resection: a safe and reliable procedure for tumor clearance during laparoscopic high distal and proximal gastrectomy [Ｊ]. Surg Endosc, 2009; 23(5): 11461149.
8.	余佩武, 罗华星. 腹腔镜胃癌根治术的现状与前景 [Ｊ]. 中国普外基础与临床杂志, 2007; 14(5): 506509.
9.	Yasuda K, Shiraishi N, Etoh T, et al. Longterm quality of life after laparoscopyassisted distal gastrectomy for gastric cancer [Ｊ]. Surg Endosc, 2007; 21(12): 21502153.
10.	Park JM, Jin SH, Lee SR, et al. Complications with laparoscopically assisted gastrectomy: multivariate analysis of 300 consecutive cases [Ｊ]. Surg Endosc, 2008; 22 (10): 21332139.
11.	郑勇斌, 童仕伦, 谭海燕, 等. 超声刀在腹腔镜胃癌根治手术中的应用 [Ｊ]. 中国普外基础与临床杂志, 2009; 16(10): 781784.
12.	Shehzad K, Mohiuddin K, Nizami S, et al. Current status of minimal access surgery for gastric cancer [Ｊ]. Surg Oncol, 2007; 16(2): 8598.
13.	Tanimura S, Higashino M, Fukunaga Y, et al. Laparoscopic gastrectomy for gastric cancer： experience with more than 600 cases [Ｊ]. Surg Endosc, 2008; 22(5): 11611164.
14.	Siani LM, Ferranti F, Stefanuto A, et al. Laparoscopic total gastrectomy for multifocal gastric GIST: a case report and review of the literature [Ｊ]. Chir Ital, 2009; 61(2): 199203.
15.	Gervaz P, Huber O, Morel P. Surgical management of gastrointestinal stromal tumors [Ｊ]. Br J Surg, 2009; 96(6): 567578.
16.	Milone M, Micera O, Milone F. Laparoscopic wedge resection for gastrointestinal stromal tumour: a case report [Ｊ]. Chir Ital, 2009; 61(1): 8385.
17.	Gentileschi P, Rossi P, Manzelli A, et al. Laparoscopic suture repair of a perforated gastric ulcer in a severely cirrhotic patient with portal hypertension: first case report [Ｊ]. JSLS, 2003; 7(4): 377382.
18.	Robert M, Poncet G, Mion F, et al. Results of laparoscopic Heller myotomy without antireflux procedure in achalasia. Monocentric prospective study of 106 cases [Ｊ]. Surg Endosc, 2008; 22(4): 866874.
19.	Ferulano GP, Dilillo S, D’Ambra M, et al. Short and long term results of the laparoscopic HellerDor myotomy. The influence of age and previous conservative therapies [Ｊ]. Surg Endosc, 2007; 21(11): 20172023.
20.	Díez Tabernilla M, RuizTovar J, Grajal Marino R, et al. Paraesophageal hiatal hernia.Open vs. laparoscopic surgery [Ｊ]. Rev Esp Enferm Dig, 2009; 101(10): 706711.
21.	Hao YX, Yu PW, Zhong H, et al. Comparison of laparoscopic and open gastrectomy on cancer cells exfoliating from the cancerinvaded serosa [Ｊ]. Surg Laparosc Endosc Percutan Tech, 2009; 19(3): 201207.
22.	Steinert R, Lippert H, Reymond MA. Tumor cell dissemination during laparoscopy：prevention and therapeutic opportunities [Ｊ]. Dig Surg, 2002; 19(6): 464472.
23.	Eng MK, Katz MH, Bernstein AJ, et al. Laparoscopic portsite metastasis in urologic surgery [Ｊ]. J Endourol, 2008; 22(8): 15811585.
24.	Joshipura VP, Haribhakti SP, Patel NR, et al. A prospective randomized, controlled study comparing low pressure versus high pressure pneumoperitoneum during laparoscopic cholecystectomy [Ｊ]. Surg Laparosc Endosc Percutan Tech, 2009; 19(3): 234240.
25.	Tabrizian P, Nguyen SQ, Divino CM. Laparoscopic management and longterm outcomes of gastrointestinal stromal tumors [Ｊ]. J Am Coll Surg, 2009; 208(1): 8086.
26.	Silberhumer GR, Hufschmid M, Wrba F, et al. Surgery for gastrointestinal stromal tumors of the stomach [Ｊ]. J Gastrointest Surg, 2009; 13(7): 12131219.
27.	Kilic A, Schuchert MJ, Pennathur A, et al. Longterm outcomes of laparoscopic Heller myotomy for achalasia [Ｊ]. Surgery, 2009; 146(4): 826831.

1. Hwang SH, Park do J, Jee YS, et al. Actual 3year survival after laparoscopyassisted gastrectomy for gastric cancer [Ｊ]. Arch Surg, 2009; 144(6): 559564.
2. Shim JH, Song KY, Kim SN, et al. Laparoscopyassisted distal gastrectomy for overweight patients in the Asian population [Ｊ]. Surg Today, 2009; 39(6): 481486.
3. Francescutti V, Choy I, Biertho L, et al. Gastrectomy and esophagogastrectomy for proximal and distal gastric lesions: a comparison of open and laparoscopic procedures [Ｊ]. Surg Innov, 2009; 16(2): 134139.
4. 余佩武. 腹腔镜胃癌根治术的原则与评价 [Ｊ]. 中国普外基础与临床杂志, 2009; 16(1): 15.
5. Strong VE, Devaud N, Allen PJ, et al. Laparoscopic versus open subtotal gastrectomy for adenocarcinoma: a casecontrol study [Ｊ]. Ann Surg Oncol, 2009; 16(6): 15071513.
6. Tokunaga M, Hiki N, Fukunaga T, et al. Laparoscopyassisted distal gastrectomy with D2 lymph node dissection following standardization-a preliminary study [Ｊ]. J Gastrointest Surg, 2009; 13(6): 10581063.
7. Matsui H, Okamoto Y, Nabeshima K, et al. Endoscopyassisted gastric resection: a safe and reliable procedure for tumor clearance during laparoscopic high distal and proximal gastrectomy [Ｊ]. Surg Endosc, 2009; 23(5): 11461149.
8. 余佩武, 罗华星. 腹腔镜胃癌根治术的现状与前景 [Ｊ]. 中国普外基础与临床杂志, 2007; 14(5): 506509.
9. Yasuda K, Shiraishi N, Etoh T, et al. Longterm quality of life after laparoscopyassisted distal gastrectomy for gastric cancer [Ｊ]. Surg Endosc, 2007; 21(12): 21502153.
10. Park JM, Jin SH, Lee SR, et al. Complications with laparoscopically assisted gastrectomy: multivariate analysis of 300 consecutive cases [Ｊ]. Surg Endosc, 2008; 22 (10): 21332139.
11. 郑勇斌, 童仕伦, 谭海燕, 等. 超声刀在腹腔镜胃癌根治手术中的应用 [Ｊ]. 中国普外基础与临床杂志, 2009; 16(10): 781784.
12. Shehzad K, Mohiuddin K, Nizami S, et al. Current status of minimal access surgery for gastric cancer [Ｊ]. Surg Oncol, 2007; 16(2): 8598.
13. Tanimura S, Higashino M, Fukunaga Y, et al. Laparoscopic gastrectomy for gastric cancer： experience with more than 600 cases [Ｊ]. Surg Endosc, 2008; 22(5): 11611164.
14. Siani LM, Ferranti F, Stefanuto A, et al. Laparoscopic total gastrectomy for multifocal gastric GIST: a case report and review of the literature [Ｊ]. Chir Ital, 2009; 61(2): 199203.
15. Gervaz P, Huber O, Morel P. Surgical management of gastrointestinal stromal tumors [Ｊ]. Br J Surg, 2009; 96(6): 567578.
16. Milone M, Micera O, Milone F. Laparoscopic wedge resection for gastrointestinal stromal tumour: a case report [Ｊ]. Chir Ital, 2009; 61(1): 8385.
17. Gentileschi P, Rossi P, Manzelli A, et al. Laparoscopic suture repair of a perforated gastric ulcer in a severely cirrhotic patient with portal hypertension: first case report [Ｊ]. JSLS, 2003; 7(4): 377382.
18. Robert M, Poncet G, Mion F, et al. Results of laparoscopic Heller myotomy without antireflux procedure in achalasia. Monocentric prospective study of 106 cases [Ｊ]. Surg Endosc, 2008; 22(4): 866874.
19. Ferulano GP, Dilillo S, D’Ambra M, et al. Short and long term results of the laparoscopic HellerDor myotomy. The influence of age and previous conservative therapies [Ｊ]. Surg Endosc, 2007; 21(11): 20172023.
20. Díez Tabernilla M, RuizTovar J, Grajal Marino R, et al. Paraesophageal hiatal hernia.Open vs. laparoscopic surgery [Ｊ]. Rev Esp Enferm Dig, 2009; 101(10): 706711.
21. Hao YX, Yu PW, Zhong H, et al. Comparison of laparoscopic and open gastrectomy on cancer cells exfoliating from the cancerinvaded serosa [Ｊ]. Surg Laparosc Endosc Percutan Tech, 2009; 19(3): 201207.
22. Steinert R, Lippert H, Reymond MA. Tumor cell dissemination during laparoscopy：prevention and therapeutic opportunities [Ｊ]. Dig Surg, 2002; 19(6): 464472.
23. Eng MK, Katz MH, Bernstein AJ, et al. Laparoscopic portsite metastasis in urologic surgery [Ｊ]. J Endourol, 2008; 22(8): 15811585.
24. Joshipura VP, Haribhakti SP, Patel NR, et al. A prospective randomized, controlled study comparing low pressure versus high pressure pneumoperitoneum during laparoscopic cholecystectomy [Ｊ]. Surg Laparosc Endosc Percutan Tech, 2009; 19(3): 234240.
25. Tabrizian P, Nguyen SQ, Divino CM. Laparoscopic management and longterm outcomes of gastrointestinal stromal tumors [Ｊ]. J Am Coll Surg, 2009; 208(1): 8086.
26. Silberhumer GR, Hufschmid M, Wrba F, et al. Surgery for gastrointestinal stromal tumors of the stomach [Ｊ]. J Gastrointest Surg, 2009; 13(7): 12131219.
27. Kilic A, Schuchert MJ, Pennathur A, et al. Longterm outcomes of laparoscopic Heller myotomy for achalasia [Ｊ]. Surgery, 2009; 146(4): 826831.

CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Laparoscopic Operation of Gastric and Gastroesophageal Junction Disease (Report of 59 Cases)

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