外科理论与实践

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2022 , Vol. 27 >Issue 04: 380 - 383

DOI: https://doi.org/10.16139/j.1007-9610.2022.04.022

综述

腹腔镜经胃腔手术治疗胃黏膜下肿瘤和早期胃癌

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  • 1.宁波大学医学院,浙江 宁波 315211
    2.宁波市第一医院胃肠外科,浙江 宁波 315000

收稿日期: 2021-03-09

  网络出版日期: 2022-09-20

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Laparoscopic intragastric surgery in treating of gastric submucosal tumor and early gastric cancer

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  • 1. Medical College of Ningbo University, Zhejiang Ningbo 315211, China
    2. Department of Gastrointestinal Surgery, Ningbo First Hospital, Zhejiang Ningbo 315000, China

Received date: 2021-03-09

  Online published: 2022-09-20

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摘要

胃黏膜下肿瘤和早期胃癌的检出率逐年升高,且两者预后良好,因此治疗时需最大限度保留胃功能。内镜治疗和腹腔镜联合内镜手术都可选择。腹腔镜经胃腔手术(laparoscopic intragastric surgery,LIGS)具有腹腔镜和内镜的优势,可由外科医师独立操作。随着LIGS术式及器械的不断完善,目前已用于胃黏膜下肿瘤和早期胃癌。本文对LIGS的应用及其优势和局限性进行综述。

关键词： 腹腔镜; 经胃腔手术; 胃黏膜下肿瘤; 早期胃癌

本文引用格式

郭良奇, 严志龙, 张谋成 . 腹腔镜经胃腔手术治疗胃黏膜下肿瘤和早期胃癌[J]. 外科理论与实践, 2022 , 27(04) : 380 -383 . DOI: 10.16139/j.1007-9610.2022.04.022

Abstract

The detection rate of gastric submucosal tumor (SMT) and early gastric cancer has been increasing year by year. The type of treatment should be selected to keep gastric function as more as possible because of both SMT and early gastric cancer with good prognosis. Endoscopy and the combination of laparoscopic and endoscopic cooperative surgery can be the choice. Laparoscopic intragastric surgery (LIGS) contains the advantages of both laparoscopy and endoscopy and can be performed by the surgeon only. LIGS has been applied to gastric submucosal tumors and early gastric cancer based on the continuous improvement of the procedure and instruments of LIGS. The application including the advantage and disadvantage of LIGS were reviewed in this paper.

Key words： Laparoscopy; Intragastric surgery; Gastric submucosal tumor; Early gastric cancer

参考文献

[1] 齐志鹏, 李全林, 钟芸诗, 等. 中国消化道黏膜下肿瘤内镜诊治专家共识(2018版)解读[J]. 中华胃肠外科杂志, 2019, 22(7):609-612.
[2] Sano T, Sasako M, Kinoshita T, et al. Recurrence of early gastric cancer. Follow-up of 1475 patients and review of the Japanese literature[J]. Cancer, 1993, 72(11):3174-3178.
[3] 王胤奎, 李子禹, 陕飞, 等. 我国早期胃癌的诊治现状——来自中国胃肠肿瘤外科联盟数据的启示[J]. 中华胃肠外科杂志, 2018, 21(2):168-174.
[4] Fock KM. Review article: the epidemiology and prevention of gastric cancer[J]. Aliment Pharmacol Ther, 2014, 40(3):250-260.
[5] 於亮亮. 内镜下胃癌治疗进展及存在问题[J]. 肿瘤综合治疗电子杂志, 2020, 6(1):11-15.
[6] Park SM, Kim JS, Ji JS, et al. Efficacy of endoscopic mucosal resections for the management of small gastric adenomas with low-grade dysplasia[J]. Scand J Gastroenterol, 2015, 50(9):1175-1182.
[7] 陈桂权, 张志坚, 程树红, 等. 经内镜黏膜下剥离术与黏膜切除术治疗胃部早期病变的临床疗效观察[J]. 海南医学, 2013, 24(4):498-501.
[8] 连元, 令狐恩强, 王志强, 等. 胃癌前病变与早癌内镜下黏膜切除术后复发率的调查研究[J]. 中华腔镜外科杂志(电子版), 2011, 4(5):380-382.
[9] Ahmed Y, Othman M. EMR/ESD: techniques, complications, and evidence[J]. Curr Gastroenterol Rep, 2020, 22(8):39.
[10] Papanikolaou IS, Triantafyllou K, Kourikou A, et al. Endoscopic ultrasonography for gastric submucosal lesions[J]. World J Gastrointest Endosc, 2011, 3(5):86-94.
[11] 林良兜, 卢杰夫, 李超芹, 等. 上消化道黏膜下肿瘤的内镜诊断与治疗进展[J]. 大众科技, 2017, 19(5):65-67.
[12] 王伟, 施新岗, 金震东, 等. 上消化道黏膜下肿瘤内镜治疗的关键问题分析[J]. 中华消化内镜杂志, 2017, 34(11):764-768.
[13] 马志明, 刘天舟, 刘晶晶, 等. 改良完全腹腔镜胃腔内手术治疗贲门或幽门周围黏膜下肿瘤的临床疗效[J]. 中华消化外科杂志, 2019, 18(3):264-269.
[14] Wang J, Yang Z, Zheng J, et al. Total-laparoscopic intragastric surgery for cardia endogenous gastric submucosal tumors: a single-center short-term experience[J]. J Laparoendosc Adv Surg Tech A, 2019, 29(3):374-378.
[15] 朱思莹, 冀明. 早期胃癌的规范化诊断和治疗[J]. 中华内科杂志, 2020, 59(3):236-239.
[16] Hiki N, Nunobe S. Laparoscopic endoscopic cooperative surgery (LECS) for the gastrointestinal tract: Updated indications[J]. Ann Gastroenterol Surg, 2019, 3(3):239-246.
[17] Tangoku A, Yamamoto K, Hirazawa K, et al. Laparosco-pic resection of large leiomyomas of the gastric fundus[J]. Surg Endosc, 1999, 13:1050-1052.
[18] Ohashi S. Laparoscopic intra-gastric surgery for early gastric cancer: a new technique in laparoscopic surgery[J]. Surg Technol Int, 1994, 3:221-226.
[19] Ludwig K, Klautke G, Bernhard J, et al. Minimally invasive and local treatment for mucosal early gastric cancer[J]. Surg Endosc, 2005, 19(10):1362-1366.
[20] Hirano Y, Ishikawa N, Omura K, et al. Robotic intragastric surgery: a new surgical approach for the gastric lesion[J]. Surg Endosc, 2007, 21(11):2112-2114.
[21] Virgilio E, Balducci G, Mercantini P, et al. Laparoscopic intragastric surgery for treating early gastric cancer[J]. Anticancer Res, 2018, 38(4):1911-1916.
[22] Tagaya N, Mikami H, Kogure H, et al. Laparoscopic intragastric stapled resection of gastric submucosal tumors located near the esophagogastric junction[J]. Surg Endosc, 2002, 16(1):177-179.
[23] Taniguchi E, Kamiike W, Yamanishi H, et al. Laparoscopic intragastric surgery for gastric leiomyoma[J]. Surg Endosc, 1997, 11:287-289.
[24] Boulanger-Gobeil C, Gagné J, Julien F, et al. Laparosco-pic intragastric resection: an alternative technique for minimally invasive treatment of gastric submucosal tumors[J]. Ann Surg, 2018, 267(2):e12-e16.
[25] Lyu Z, Yang Z, Wang J, et al. Totally laparoscopic transluminal resection for gastrointestinal stromal tumors located at the cardiac region[J]. Ann Surg Oncol, 2018, 25(8):2218-2219.
[26] Villano AM, Lofthus A, Watson TJ, et al. Minimally invasive intragastric approach to gastroesophageal junction disease[J]. Ann Thorac Surg, 2019, 107(2):412-417.
[27] Cazauran JB, Mercier F, Pasquer A, et al. Intragastric single-incision laparoscopic surgery for gastric leio-myoma: a stepwise approach[J]. Ann Surg Oncol, 2017, 24(8):2281.
[28] Sánchez-Margallo FM, Pérez López M, Tapia Araya A, et al. Comparison of minilaparoscopy and single-incision intragastric surgery for gastric submucosal tumor resection in a porcine model[J]. Surg Endosc, 2016, 30(10):4489-4498.
[29] Baimas-George M, Passeri MJ, Lyman WB, et al. A single-center experience with minimally invasive transgastric ERCP in patients with previous gastric bypass: lessons learned and technical considerations[J]. Am Surg, 2020, 86(4):300-307.
[30] Çaynak M, Özcan B. Laparoscopic transgastric resection of a gastrointestinal stromal tumor and concomitant sleeve gastrectomy: a case report[J]. Obes Surg, 2020, 30(4):1596-1599.
[31] Mino JS, Guerron AD, Monteiro R, et al. Long-term outcomes of combined endoscopic/laparoscopic intragastric enucleation of presumed gastric stromal tumors[J]. Surg Endosc, 2016, 30(5):1747-1753.
[32] Ohashi S. Laparoscopic intraluminal (intragastric) surgery for early gastric cancer. A new concept in laparoscopic surgery[J]. Surg Endosc, 1995, 9(2):169-171.
[33] Lai DT, Chu KM, Storey DW. Laparoscopic endoluminal gastric surgery[J]. Aust N Z J Surg, 1996, 66(1):41-21.
[34] Yumiba T, Ito T, Kushima H, et al. Effect of mucosal suture on the healing of mucosal defect in laparoscopic intragastric surgery[J]. Gastric Cancer, 2003, 6(2):96-99.
[35] 刘彦, 龚昭, 肖新波. 免胃腔穿刺充气式腹腔镜胃后壁平滑肌瘤切除术1例[J]. 腹腔镜外科杂志, 2004, 9(4):233.
[36] Xu X, Chen K, Zhou W, et al. Laparoscopic transgastric resection of gastric submucosal tumors located near the esophagogastric junction[J]. J Gastrointest Surg, 2013, 17(9):1570-1575.
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