Journal of Gastric Cancer

  • 제16권3호
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  • Pages.200-206
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  • 2016
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  • 2093-582X(pISSN)
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  • 2093-5641(eISSN)
대한위암학회 (The Korean Gastric Cancer Association)
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Single-Port Laparoscopic Proximal Gastrectomy with Double Tract Reconstruction for Early Gastric Cancer: Report of a Case

  • Lee, Chang Min (Department of Surgery, Korea University Medical Center, Korea University College of Medicine) ;
  • Park, Da Won (Department of Surgery, Korea University Medical Center, Korea University College of Medicine) ;
  • Jung, Do Hyun (Department of Surgery, Korea University Medical Center, Korea University College of Medicine) ;
  • Jang, You Jin (Department of Surgery, Korea University Medical Center, Korea University College of Medicine) ;
  • Kim, Jong-Han (Department of Surgery, Korea University Medical Center, Korea University College of Medicine) ;
  • Park, Sungsoo (Department of Surgery, Korea University Medical Center, Korea University College of Medicine) ;
  • Park, Seong-Heum (Department of Surgery, Korea University Medical Center, Korea University College of Medicine)
  • 투고 : 2016.06.07
  • 심사 : 2016.07.06
  • 발행 : 2016.09.30
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초록

In Korea, proximal gastrectomy has recently attracted attention as a better choice of function-preserving surgery for proximal early gastric cancer than total gastrectomy. Of the various strategies to overcome reflux symptoms from remnant stomach, double tract reconstruction not only reduces the incidence of anastomosis-related complications, but is also sufficiently reproducible as a laparoscopic procedure. Catching up with the recent rise of single-port laparoscopic surgeries, we performed a pure single-port laparoscopic proximal gastrectomy with DTR. This procedure was designed by merging the function-preserving concept of proximal gastrectomy with single-port laparoscopic total gastrectomy.

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참고문헌

  1. Harrison LE, Karpeh MS, Brennan MF. Total gastrectomy is not necessary for proximal gastric cancer. Surgery 1998;123:127-130. https://doi.org/10.1016/S0039-6060(98)70248-X
  2. Nozaki I, Hato S, Kobatake T, Ohta K, Kubo Y, Kurita A. Longterm outcome after proximal gastrectomy with jejunal interposition for gastric cancer compared with total gastrectomy. World J Surg 2013;37:558-564. https://doi.org/10.1007/s00268-012-1894-4
  3. Zeng C, Huang L, Chen L, Huang H, Zheng Y, Chi L. Comparison of short- and long-term efficacy of three procedures in postoperative digestive tract reconstruction for upper gastric cancer. Zhonghua Wei Chang Wai Ke Za Zhi 2014;17:444-448.
  4. Kong SH, Kim JW, Lee HJ, Kim WH, Lee KU, Yang HK. Reverse double-stapling end-to-end esophagogastrostomy in proximal gastrectomy. Dig Surg 2010;27:170-174. https://doi.org/10.1159/000264658
  5. Zhao P, Xiao SM, Tang LC, Ding Z, Zhou X, Chen XD. Proximal gastrectomy with jejunal interposition and TGRY anastomosis for proximal gastric cancer. World J Gastroenterol 2014;20:8268-8273. https://doi.org/10.3748/wjg.v20.i25.8268
  6. Kikuchi S, Nemoto Y, Katada N, Sakuramoto S, Kobayashi N, Shimao H, et al. Results of follow-up endoscopy in patients who underwent proximal gastrectomy with jejunal interposition for gastric cancer. Hepatogastroenterology 2007;54:304-307.
  7. Ohyama S, Tokunaga M, Hiki N, Fukunaga T, Fujisaki J, Seto Y, et al. A clinicopathological study of gastric stump carcinoma following proximal gastrectomy. Gastric Cancer 2009;12:88-94. https://doi.org/10.1007/s10120-009-0502-2
  8. Tokunaga M, Ohyama S, Hiki N, Hoshino E, Nunobe S, Fukunaga T, et al. Endoscopic evaluation of reflux esophagitis after proximal gastrectomy: comparison between esophagogastric anastomosis and jejunal interposition. World J Surg 2008;32:1473-1477. https://doi.org/10.1007/s00268-007-9459-7
  9. Iwata T, Kurita N, Ikemoto T, Nishioka M, Andoh T, Shimada M. Evaluation of reconstruction after proximal gastrectomy: prospective comparative study of jejunal interposition and jejunal pouch interposition. Hepatogastroenterology 2006;53:301-303.
  10. Masuzawa T, Takiguchi S, Hirao M, Imamura H, Kimura Y, Fujita J, et al. Comparison of perioperative and long-term outcomes of total and proximal gastrectomy for early gastric cancer: a multi-institutional retrospective study. World J Surg 2014;38:1100-1106. https://doi.org/10.1007/s00268-013-2370-5
  11. Yoo CH, Sohn BH, Han WK, Pae WK. Proximal gastrectomy reconstructed by jejunal pouch interposition for upper third gastric cancer: prospective randomized study. World J Surg 2005;29:1592-1599. https://doi.org/10.1007/s00268-005-7793-1
  12. Takiguchi N, Takahashi M, Ikeda M, Inagawa S, Ueda S, Nobuoka T, et al. Long-term quality-of-life comparison of total gastrectomy and proximal gastrectomy by postgastrectomy syndrome assessment scale (PGSAS-45): a nationwide multiinstitutional study. Gastric Cancer 2015;18:407-416. https://doi.org/10.1007/s10120-014-0377-8
  13. Nomura E, Lee SW, Tokuhara T, Kawai M, Uchiyama K. Functional outcomes according to the size of the gastric remnant and type of reconstruction following open and laparoscopic proximal gastrectomy for gastric cancer. Hepatogastroenterology 2012;59:1677-1681.
  14. Ichikawa D, Komatsu S, Okamoto K, Shiozaki A, Fujiwara H, Otsuji E. Evaluation of symptoms related to reflux esophagitis in patients with esophagogastrostomy after proximal gastrectomy. Langenbecks Arch Surg 2013;398:697-701. https://doi.org/10.1007/s00423-012-0921-0
  15. Namikawa T, Oki T, Kitagawa H, Okabayashi T, Kobayashi M, Hanazaki K. Impact of jejunal pouch interposition reconstruction after proximal gastrectomy for early gastric cancer on quality of life: short- and long-term consequences. Am J Surg 2012;204:203-209. https://doi.org/10.1016/j.amjsurg.2011.09.035
  16. Hirai T, Matsumoto H, Iki K, Hirabayashi Y, Kawabe Y, Ikeda M, et al. Lower esophageal sphincter- and vagus-preserving proximal partial gastrectomy for early cancer of the gastric cardia. Surg Today 2006;36:874-878. https://doi.org/10.1007/s00595-006-3265-y
  17. Adachi Y, Katsuta T, Aramaki M, Morimoto A, Shiraishi N, Kitano S. Proximal gastrectomy and gastric tube reconstruction for early cancer of the gastric cardia. Dig Surg 1999;16:468-470. https://doi.org/10.1159/000018771
  18. Ronellenfitsch U, Najmeh S, Andalib A, Perera RM, Rousseau MC, Mulder DS, et al. Functional outcomes and quality of life after proximal gastrectomy with esophagogastrostomy using a narrow gastric conduit. Ann Surg Oncol 2015;22:772-779.
  19. Kondoh Y, Ishii A, Ishizu K, Hanashi T, Okamoto Y, Morita M, et al. Esophagogastrostomy before proximal gastrectomy in patients with early gastric cancers in the upper third of the stomach. Tokai J Exp Clin Med 2006;31:146-149.
  20. Ishigami S, Uenosono Y, Arigami T, Kurahara H, Okumura H, Matsumoto M, et al. Novel fundoplication for esophagogastrostomy after proximal gastrectomy. Hepatogastroenterology 2013;60:1814-1816.
  21. Katai H, Morita S, Saka M, Taniguchi H, Fukagawa T. Longterm outcome after proximal gastrectomy with jejunal interposition for suspected early cancer in the upper third of the stomach. Br J Surg 2010;97:558-562. https://doi.org/10.1002/bjs.6944
  22. Adachi Y, Inoue T, Hagino Y, Shiraishi N, Shimoda K, Kitano S. Surgical results of proximal gastrectomy for early-stage gastric cancer: jejunal interposition and gastric tube reconstruction. Gastric Cancer 1999;2:40-45. https://doi.org/10.1007/s101200050019
  23. Nakamura M, Nakamori M, Ojima T, Katsuda M, Iida T, Hayata K, et al. Reconstruction after proximal gastrectomy for early gastric cancer in the upper third of the stomach: an analysis of our 13-year experience. Surgery 2014;156:57-63. https://doi.org/10.1016/j.surg.2014.02.015
  24. Takagawa R, Kunisaki C, Kimura J, Makino H, Kosaka T, Ono HA, et al. A pilot study comparing jejunal pouch and jejunal interposition reconstruction after proximal gastrectomy. Dig Surg 2010;27:502-508. https://doi.org/10.1159/000321224
  25. Tokunaga M, Hiki N, Ohyama S, Nunobe S, Miki A, Fukunaga T, et al. Effects of reconstruction methods on a patient's quality of life after a proximal gastrectomy: subjective symptoms evaluation using questionnaire survey. Langenbecks Arch Surg 2009;394:637-641. https://doi.org/10.1007/s00423-008-0442-z
  26. Ichikawa D, Ueshima Y, Shirono K, Kan K, Shioaki Y, Lee CJ, et al. Esophagogastrostomy reconstruction after limited proximal gastrectomy. Hepatogastroenterology 2001;48:1797-1801.
  27. Shiraishi N, Adachi Y, Kitano S, Kakisako K, Inomata M, Yasuda K. Clinical outcome of proximal versus total gastrectomy for proximal gastric cancer. World J Surg 2002;26:1150-1154. https://doi.org/10.1007/s00268-002-6369-6
  28. Tomita R, Fujisaki S, Tanjoh K, Fukuzawa M. A novel operative technique on proximal gastrectomy reconstructed by interposition of a jejunal J pouch with preservation of the vagal nerve and lower esophageal sphincter. Hepatogastroenterology 2001;48:1186-1191.
  29. Yabusaki H, Nashimoto A, Matsuki A, Aizawa M. Evaluation of jejunal pouch interposition after proximal gastrectomy for early gastric cancer in the upper third of the stomach. Hepatogastroenterology 2012;59:2032-2036.
  30. Kobayashi M, Araki K, Okamoto K, Okabayashi T, Akimori T, Sugimoto T. Anti-reflux pouch-esophagostomy after proximal gastrectomy with jejunal pouch interposition reconstruction. Hepatogastroenterology 2007;54:116-118.
  31. Hoshikawa T, Denno R, Ura H, Yamaguchi K, Hirata K. Proximal gastrectomy and jejunal pouch interposition: evaluation of postoperative symptoms and gastrointestinal hormone secretion. Oncol Rep 2001;8:1293-1299.
  32. Zhao Q, Li Y, Guo W, Zhang Z, Ma Z, Jiao Z. Clinical application of modified double tracks anastomosis in proximal gastrectomy. Am Surg 2011;77:1593-1599.
  33. Hiki N, Nunobe S, Kubota T, Jiang X. Function-preserving gastrectomy for early gastric cancer. Ann Surg Oncol 2013;20:2683-2692. https://doi.org/10.1245/s10434-013-2931-8
  34. Ahn SH, Jung do H, Son SY, Lee CM, Park do J, Kim HH. Laparoscopic double-tract proximal gastrectomy for proximal early gastric cancer. Gastric Cancer 2014;17:562-570. https://doi.org/10.1007/s10120-013-0303-5
  35. Japanese Gastric Cancer Association. Japanese gastric cancer treatment guidelines 2010 (ver. 3). Gastric Cancer 2011;14:113-123. https://doi.org/10.1007/s10120-011-0042-4
  36. Hasson HM. A modified instrument and method for laparoscopy. Am J Obstet Gynecol 1971;110:886-887. https://doi.org/10.1016/0002-9378(71)90593-X
  37. Shabbir A, Lee JH, Lee MS, Park DJ, Kim HH. Combined suture retraction of the falciform ligament and the left lobe of the liver during laparoscopic total gastrectomy. Surg Endosc 2010;24:3237-3240. https://doi.org/10.1007/s00464-010-1118-7
  38. Washington K. 7th edition of the AJCC cancer staging manual: stomach. Ann Surg Oncol 2010;17:3077-3079. https://doi.org/10.1245/s10434-010-1362-z
  39. Omori T, Tanaka K, Tori M, Ueshima S, Akamatsu H, Nishida T. Intracorporeal circular-stapled Billroth I anastomosis in single-incision laparoscopic distal gastrectomy. Surg Endosc 2012;26:1490-1494. https://doi.org/10.1007/s00464-011-2034-1
  40. Park do J, Lee JH, Ahn SH, Eng AK, Kim HH. Single-port laparoscopic distal gastrectomy with D1+${\beta}$ lymph node dissection for gastric cancers: report of 2 cases. Surg Laparosc Endosc Percutan Tech 2012;22:e214-e216. https://doi.org/10.1097/SLE.0b013e318253df9b
  41. Ahn SH, Son SY, Lee CM, Jung do H, Park do J, Kim HH. Intracorporeal uncut Roux-en-Y gastrojejunostomy reconstruction in pure single-incision laparoscopic distal gastrectomy for early gastric cancer: unaided stapling closure. J Am Coll Surg 2014;218:e17-e21. https://doi.org/10.1016/j.jamcollsurg.2013.09.009
  42. Ahn SH, Son SY, Jung do H, Park do J, Kim HH. Pure singleport laparoscopic distal gastrectomy for early gastric cancer: comparative study with multi-port laparoscopic distal gastrectomy. J Am Coll Surg 2014;219:933-943. https://doi.org/10.1016/j.jamcollsurg.2014.07.009
  43. Ahn SH, Jung do H, Son SY, Park do J, Kim HH. Pure singleincision laparoscopic D2 lymphadenectomy for gastric cancer: a novel approach to 11p lymph node dissection (midpancreas mobilization). Ann Surg Treat Res 2014;87:279-283. https://doi.org/10.4174/astr.2014.87.5.279
  44. Kim SM, Ha MH, Seo JE, Kim JE, Choi MG, Sohn TS, et al. Comparison of single-port and reduced-port totally laparoscopic distal gastrectomy for patients with early gastric cancer. Surg Endosc 2015. doi: 10.1007/s00464-015-4706-8 [In print].
  45. Kim SM, Lee SH, Ha MH, Seo JE, Kim JE, Choi MG, et al. Techniques of the single-port totally laparoscopic distal gastrectomy. Ann Surg Oncol 2015;22 Suppl 3:S341. https://doi.org/10.1245/s10434-015-4839-y
  46. Suh YS, Park JH, Kim TH, Huh YJ, Son YG, Yang JY, et al. Unaided stapling technique for pure single-incision distal gastrectomy in early gastric cancer: unaided delta-shaped anastomosis and uncut Roux-en-Y anastomosis. J Gastric Cancer 2015;15:105-112. https://doi.org/10.5230/jgc.2015.15.2.105
  47. Ahn SH, Son SY, Jung do H, Park YS, Shin DJ, Park do J, et al. Solo intracorporeal esophagojejunostomy reconstruction using a laparoscopic scope holder in single-port laparoscopic total gastrectomy for early gastric cancer. J Gastric Cancer 2015;15:132-138. https://doi.org/10.5230/jgc.2015.15.2.132
  48. Ahn SH, Park do J, Son SY, Lee CM, Kim HH. Single-incision laparoscopic total gastrectomy with D1+beta lymph node dissection for proximal early gastric cancer. Gastric Cancer 2014;17:392-396. https://doi.org/10.1007/s10120-013-0268-4
  49. Inaba K, Satoh S, Ishida Y, Taniguchi K, Isogaki J, Kanaya S, et al. Overlap method: novel intracorporeal esophagojejunostomy after laparoscopic total gastrectomy. J Am Coll Surg 2010;211:e25-e29. https://doi.org/10.1016/j.jamcollsurg.2010.09.005
  50. Tsujimoto H, Uyama I, Yaguchi Y, Kumano I, Takahata R, Matsumoto Y, et al. Outcome of overlap anastomosis using a linear stapler after laparoscopic total and proximal gastrectomy. Langenbecks Arch Surg 2012;397:833-840. https://doi.org/10.1007/s00423-012-0939-3

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