Choice of LECS Procedure for Benign and Malignant Gastric Tumorsopen access
- Authors
- Min, Jae-Seok; Seo, Kyung Won; Jeong, Sang-Ho
- Issue Date
- Jun-2021
- Publisher
- KOREAN GASTRIC CANCER ASSOC
- Keywords
- Laparoscopy; Endoscopes
- Citation
- JOURNAL OF GASTRIC CANCER, v.21, no.2, pp.111 - 121
- Indexed
- SCIE
SCOPUS
KCI
- Journal Title
- JOURNAL OF GASTRIC CANCER
- Volume
- 21
- Number
- 2
- Start Page
- 111
- End Page
- 121
- URI
- https://scholarworks.bwise.kr/gnu/handle/sw.gnu/3620
- DOI
- 10.5230/jgc.2021.21.e21
- ISSN
- 2093-582X
- Abstract
- Laparoscopic endoscopic cooperative surgery (LECS) refers to the endoscopic dissection of the mucosal or submucosal layers with laparoscopic seromuscular resection. We recommend a treatment algorithm for the LECS procedure for gastric benign tumors according to the protruding type. In the exophytic type, endoscopic-assisted wedge resection can be performed. In the endophytic type, endoscopic-assisted wedge resection of the anterior wall is relatively easy to perform, and endoscopic-assisted transgastric resection, laparoscopicassisted intragastric surgery, or single-incision intragastric resection in the posterior wall and esophagogastric junction (EG Jx) can be attempted. We propose an algorithm for the LECS procedure for early gastric cancer according to the tumor location. The endoscopic submucosal dissection (ESD) procedure can be adapted for all areas of the stomach, and single-incision ESD can be performed in the mid to high body and the EG Jx. In full-thickness gastric resection, laparoscopy-assisted endoscopic full-thickness resection can be adapted for the entire area of the stomach, but it cannot be applied to the pyloric and EG Jx. In conclusion, surgeons need to select the LECS procedure according to tumor type, tumor location, the surgeon's individual experience, and the situation of the institution while also considering the advantages and disadvantages of each procedure.
- Files in This Item
- There are no files associated with this item.
- Appears in
Collections - College of Medicine > Department of Medicine > Journal Articles
Items in ScholarWorks are protected by copyright, with all rights reserved, unless otherwise indicated.