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Original Article

J Minim Invasive Surg 2014; 17(2): 21-25

Published online June 15, 2014

https://doi.org/10.7602/jmis.2014.17.2.21

© The Korean Society of Endo-Laparoscopic & Robotic Surgery

Novel Laparoscopic Gastric Tubing with Pyloromyotomy for Treatment of Esophageal Cancer

Youn Keun Lee, B.sc.1, Sook Whan Sung, Ph.D.2, Jae Kil Park, Ph.D.2, Cho Hyun Park, Ph.D.1, Kyo Young Song, Ph.D.1

Author Info. +

Departments of 1Surgery, 2Thoracic and Cardiovascular Surgery, College of Medicine,The Catholic University of Korea, Seoul, Korea

Received: March 26, 2014; Revised: March 20, 2014; Accepted: June 2, 2014

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Go to

Purpose: We report on a novel method and outcomes of laparoscopic gastric tubing with pyloromyotomy. Methods: The abdominal procedure includes laparoscopic gastric mobilization, celiac axis lymph node dissection, formation of the gastric tube, and pyloromyotomy. Between January 2009 and April 2013, our minimally invasive esophagectomy (MIE) was performed on 54 patients with esophageal cancer. The short-term outcomes, including post-operative complications, were analyzed. Results: There were no cases of conversion to open surgery. Of 54 patients, 52 patients had squamous cell carcinoma (SCC) and two had adenocarcinoma. The total operative time was 349.8±77.4 minutes, of which 90.6±27.6 minutes was required for the abdominal procedure. The mean estimated operative blood loss during the abdominal procedure was 40.0 ±355.5 ml. The postoperative complication rate was 24.1%; three patients died of pneumonia. Conclusion: Laparoscopic gastric tubing with pyloromy-otomy is a feasible and safe treatment option for patients with esophageal cancer.

Keywords Esophageal cancer, Minimally invasive, Laparoscopy,Gastric tubing, Feasibility

REFERENCES

Go to
  1. Pennathur A, Luketich JD. Resection for esophageal cancer:strategies for optimal management. Ann Thorac Surg 2008;85 (Suppl):S751-756.
    Pubmed CrossRef
  2. Smithers BM, Gotley DC, Martin I, et al. Comparison of the outcomes between open and minimally invasive esophagectomy. Ann Surg 2007;245:232-240.
    Pubmed KoreaMed CrossRef
  3. Luketich JD, Nguyen NT, Weigel T, et al. Minimally invasive approach to esophagectomy. JSLS 1998;2:243-247.
    Pubmed KoreaMed
  4. Oh DK, Hur H, Kim JY, et al. V-shaped Liver Retraction during a Laparoscopic Gastrectomy for Gastric Cancer. J Gastric Cancer 2010;10:133-136.
    CrossRef
  5. Song KY, Kim SN, Park CH. Laparoscopy-assisted distal gastrectomy with D2 lymph node dissection for gastric cancer:Technical and oncologic aspects. Surg Endosc 2008;22:655-659.
    Pubmed CrossRef
  6. Vierra M. Minimally invasive surgery. Annu Rev Med 1995;46:147-158.
    Pubmed CrossRef
  7. Adachi Y, Suematsu T, Shiraishi N, et al. Quality of life after laparoscopy-assisted Billroth I gastrectomy. Ann Surg 1999;229:49-54.
    Pubmed KoreaMed CrossRef
  8. Kim W, Song KY, Lee HJ, et al. The impact of comorbidity on surgical outcomes in laparoscopy assisted distal gastrectomy. Ann Surg 2008;248:793-799.
    Pubmed CrossRef
  9. Ackroyd R, Watson DI, Majeed AW, et al. Randomized clinical trial of laparoscopic versus open fundoplication for gastro-oesophageal reflux disease. Br J Surg 2004;91:975-982.
    Pubmed CrossRef
  10. Patti MG, Pellegrini CA, Horgan S, et al. Minimally invasive surgery for achalasia: an 8-year experience with 168 patients. Ann Surg 1999;230:587-593.
    Pubmed KoreaMed CrossRef
  11. Luketich JD, Alvelo-Rivera M, Buenaventura PO, et al. Minimally invasive esophagectomy: outcomes in 222 patients. Ann Surg 2003;238:486-494.
    CrossRef

Article

Original Article

J Minim Invasive Surg 2014; 17(2): 21-25

Published online June 15, 2014 https://doi.org/10.7602/jmis.2014.17.2.21

Copyright © The Korean Society of Endo-Laparoscopic & Robotic Surgery.

Novel Laparoscopic Gastric Tubing with Pyloromyotomy for Treatment of Esophageal Cancer

Youn Keun Lee, B.sc.1, Sook Whan Sung, Ph.D.2, Jae Kil Park, Ph.D.2, Cho Hyun Park, Ph.D.1, Kyo Young Song, Ph.D.1

Departments of 1Surgery, 2Thoracic and Cardiovascular Surgery, College of Medicine,The Catholic University of Korea, Seoul, Korea

Received: March 26, 2014; Revised: March 20, 2014; Accepted: June 2, 2014

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Purpose: We report on a novel method and outcomes of laparoscopic gastric tubing with pyloromyotomy. Methods: The abdominal procedure includes laparoscopic gastric mobilization, celiac axis lymph node dissection, formation of the gastric tube, and pyloromyotomy. Between January 2009 and April 2013, our minimally invasive esophagectomy (MIE) was performed on 54 patients with esophageal cancer. The short-term outcomes, including post-operative complications, were analyzed. Results: There were no cases of conversion to open surgery. Of 54 patients, 52 patients had squamous cell carcinoma (SCC) and two had adenocarcinoma. The total operative time was 349.8±77.4 minutes, of which 90.6±27.6 minutes was required for the abdominal procedure. The mean estimated operative blood loss during the abdominal procedure was 40.0 ±355.5 ml. The postoperative complication rate was 24.1%; three patients died of pneumonia. Conclusion: Laparoscopic gastric tubing with pyloromy-otomy is a feasible and safe treatment option for patients with esophageal cancer.

Keywords: Esophageal cancer, Minimally invasive, Laparoscopy,Gastric tubing, Feasibility

References

  1. Pennathur A, Luketich JD. Resection for esophageal cancer:strategies for optimal management. Ann Thorac Surg 2008;85 (Suppl):S751-756.
    Pubmed CrossRef
  2. Smithers BM, Gotley DC, Martin I, et al. Comparison of the outcomes between open and minimally invasive esophagectomy. Ann Surg 2007;245:232-240.
    Pubmed KoreaMed CrossRef
  3. Luketich JD, Nguyen NT, Weigel T, et al. Minimally invasive approach to esophagectomy. JSLS 1998;2:243-247.
    Pubmed KoreaMed
  4. Oh DK, Hur H, Kim JY, et al. V-shaped Liver Retraction during a Laparoscopic Gastrectomy for Gastric Cancer. J Gastric Cancer 2010;10:133-136.
    CrossRef
  5. Song KY, Kim SN, Park CH. Laparoscopy-assisted distal gastrectomy with D2 lymph node dissection for gastric cancer:Technical and oncologic aspects. Surg Endosc 2008;22:655-659.
    Pubmed CrossRef
  6. Vierra M. Minimally invasive surgery. Annu Rev Med 1995;46:147-158.
    Pubmed CrossRef
  7. Adachi Y, Suematsu T, Shiraishi N, et al. Quality of life after laparoscopy-assisted Billroth I gastrectomy. Ann Surg 1999;229:49-54.
    Pubmed KoreaMed CrossRef
  8. Kim W, Song KY, Lee HJ, et al. The impact of comorbidity on surgical outcomes in laparoscopy assisted distal gastrectomy. Ann Surg 2008;248:793-799.
    Pubmed CrossRef
  9. Ackroyd R, Watson DI, Majeed AW, et al. Randomized clinical trial of laparoscopic versus open fundoplication for gastro-oesophageal reflux disease. Br J Surg 2004;91:975-982.
    Pubmed CrossRef
  10. Patti MG, Pellegrini CA, Horgan S, et al. Minimally invasive surgery for achalasia: an 8-year experience with 168 patients. Ann Surg 1999;230:587-593.
    Pubmed KoreaMed CrossRef
  11. Luketich JD, Alvelo-Rivera M, Buenaventura PO, et al. Minimally invasive esophagectomy: outcomes in 222 patients. Ann Surg 2003;238:486-494.
    CrossRef
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