Laparoscopic and Endoscopic Cooperative Surgery (LECS) for Gastric Submucosal Tumor at Our Hospital
- VernacularTitle:当院における胃粘膜下腫瘍に対する腹腔鏡・内視鏡合同手術（LECS）の検討
- Author:
Yoshitaka ENOMOTO
1
;
Masashi ZUGUCHI
1
;
Yosuke KUBOTA
1
;
Yasushi KAWAHARADA
1
;
Yuki MIYAZAKI
1
;
Naruhito TAKIDO
1
;
Daisuke ISHII
1
;
Ryuichi TAKETOMI
1
;
Haruka MOTEGI
1
;
Yohei HORIKAWA
2
;
Ken SAITO
1
Author Information
- From:Journal of the Japanese Association of Rural Medicine 2019;68(4):505-509
- CountryJapan
- Language:Japanese
- Abstract: In our hospital, we typically perform laparoscopic partial gastrectomy as surgical treatment for extragastric growth type of submucosal tumor (SMT), and laparoscopic intragastric surgery for intragastric growth type. In 2008, laparoscopic and endoscopic cooperative surgery (LECS) was reported for the first time by Hiki et al. Against the background of LECS as laparoscopic local gastric resection with endoscopic resection, we started LECS for gastric SMT from 2015. We performed laparoscopic (LAP) surgery for 15 gastric SMT cases from 2009, and compared 5 cases for which LECS was performed and 10 cases for which LAP was performed. Tumor diameter was 15–21 mm (mean 19.2 mm) in the LECS group, and 20–53 mm (mean 35.5 mm) in the LAP group; the LECS group had a significantly smaller tumor diameter. Operative time was 299 ± 45 min in LECS and 222 ± 25 min in LAP. The volume of blood loss was 24 ± 13 mL in LECS and 33 ± 13 mL in LAP. Hospitalization days was 14.0 ± 3.0 days in LECS and 12.9 ±0.8 days in LAP. There was no significant difference between them.
