Laparoscopy-assisted Proximal Gastrectomy with Sentinel Node Mapping for Early Gastric Cancer
Background Laparoscopy-assisted proximal gastrectomy (LAPG) remains a relatively uncommon procedure because of certain technical issues, such as curability, safety, and retention of postoperative patients’ quality of life. The aim of the present study was to evaluate the feasibility of a newly devel...
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| Veröffentlicht in: | World journal of surgery 2011-11, Vol.35 (11), p.2463-2471 |
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| creator | Takeuchi, Hiroya Oyama, Takashi Kamiya, Satoshi Nakamura, Rieko Takahashi, Tsunehiro Wada, Norihito Saikawa, Yoshiro Kitagawa, Yuko |
| description | Background
Laparoscopy-assisted proximal gastrectomy (LAPG) remains a relatively uncommon procedure because of certain technical issues, such as curability, safety, and retention of postoperative patients’ quality of life. The aim of the present study was to evaluate the feasibility of a newly developed LAPG procedure for early-stage proximal gastric cancer.
Methods
We enrolled 37 consecutive patients who were preoperatively diagnosed with cT1N0M0 primary gastric cancer in the upper third of the stomach with the primary tumor diameter less than 4 cm. Laparoscopy-assisted proximal gastrectomy with sentinel node (SN) mapping and esophagogastric anastomosis with a circular stapler and transoral placement of the anvil was attempted.
Results
The LAPG procedure was completed in 36 patients. It was converted to laparoscopy-assisted total gastrectomy in one patient because one SN detected intraoperatively was positive for metastasis by intraoperative pathological diagnosis. There were no severe postoperative complications in any patient. Only one patient (3%) complained of mild reflux symptoms immediately after operation, which were graded endoscopically as B by the Los Angeles Classification of gastroesophageal reflux disease; however, the symptoms were controlled well by a proton-pump inhibitor. Sentinel nodes were detected successfully in 37 (100%) of our patients. The mean number of dissected lymph nodes and identified SNs per case was 29.7 and 5.8, respectively. The sensitivity of prediction of nodal metastasis (including isolated tumor cells) and diagnostic accuracy based on SN status were 100% (3/3) and 100% (37/37), respectively. All patients have been free from recurrence for a median follow-up period of 26 months.
Conclusions
This study reveals that our novel LAPG approach is curative and represents a feasible minimally invasive surgical procedure with minimal morbidity and postoperative reflux esophagitis in patients with upper-third early-stage gastric cancer. |
| doi_str_mv | 10.1007/s00268-011-1223-3 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_898173941</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>898173941</sourcerecordid><originalsourceid>FETCH-LOGICAL-c4507-62ddb9374a42a39b5df090aab599995d19a75c6ddcbe76d579809d2700ee007c3</originalsourceid><addsrcrecordid>eNqFkF2L1DAUhoMo7jj6A7yRICx7VT1J2qS51GG_ZPyAVbySkCbpmqXT1KTD2n-_KZ11QRBzk1w878l7HoReEnhDAMTbBEB5XQAhBaGUFewRWpGS0YIyyh6jFTBe5jdhR-hZSjcARHDgT9ERJXVNc3aFfmz1oGNIJgxToVPyaXQWf4nht9_pDp_rNEZnxrCb8K0ff-Ir14--dx3-FKzDH_Uw-P4atyHiUx27aQl4gze6Ny4-R09a3SX34nCv0bez06-bi2L7-fxy825bmLICUXBqbSOZKHVJNZNNZVuQoHVTyXwqS6QWleHWmsYJbisha5CWCgDnsgfD1uhkmTvE8Gvv0qh2PhnXdbp3YZ9ULWsimCxJJl__Rd6EfexzuQzNiMzgGpEFMtlMiq5VQ8w64qQIqNm8WsyrbF7N5hXLmVeHwftm5-yfxL3qDBwfAJ2M7tqYDfn0wFVMcMrmQXLhbn3npv__rL5_uHp_BhVnc3G6ZFOO9dcuPmz37-Z3ctqrWg</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>897394917</pqid></control><display><type>article</type><title>Laparoscopy-assisted Proximal Gastrectomy with Sentinel Node Mapping for Early Gastric Cancer</title><source>MEDLINE</source><source>Wiley Online Library Journals Frontfile Complete</source><source>Springer Nature - Complete Springer Journals</source><creator>Takeuchi, Hiroya ; Oyama, Takashi ; Kamiya, Satoshi ; Nakamura, Rieko ; Takahashi, Tsunehiro ; Wada, Norihito ; Saikawa, Yoshiro ; Kitagawa, Yuko</creator><creatorcontrib>Takeuchi, Hiroya ; Oyama, Takashi ; Kamiya, Satoshi ; Nakamura, Rieko ; Takahashi, Tsunehiro ; Wada, Norihito ; Saikawa, Yoshiro ; Kitagawa, Yuko</creatorcontrib><description>Background
Laparoscopy-assisted proximal gastrectomy (LAPG) remains a relatively uncommon procedure because of certain technical issues, such as curability, safety, and retention of postoperative patients’ quality of life. The aim of the present study was to evaluate the feasibility of a newly developed LAPG procedure for early-stage proximal gastric cancer.
Methods
We enrolled 37 consecutive patients who were preoperatively diagnosed with cT1N0M0 primary gastric cancer in the upper third of the stomach with the primary tumor diameter less than 4 cm. Laparoscopy-assisted proximal gastrectomy with sentinel node (SN) mapping and esophagogastric anastomosis with a circular stapler and transoral placement of the anvil was attempted.
Results
The LAPG procedure was completed in 36 patients. It was converted to laparoscopy-assisted total gastrectomy in one patient because one SN detected intraoperatively was positive for metastasis by intraoperative pathological diagnosis. There were no severe postoperative complications in any patient. Only one patient (3%) complained of mild reflux symptoms immediately after operation, which were graded endoscopically as B by the Los Angeles Classification of gastroesophageal reflux disease; however, the symptoms were controlled well by a proton-pump inhibitor. Sentinel nodes were detected successfully in 37 (100%) of our patients. The mean number of dissected lymph nodes and identified SNs per case was 29.7 and 5.8, respectively. The sensitivity of prediction of nodal metastasis (including isolated tumor cells) and diagnostic accuracy based on SN status were 100% (3/3) and 100% (37/37), respectively. All patients have been free from recurrence for a median follow-up period of 26 months.
Conclusions
This study reveals that our novel LAPG approach is curative and represents a feasible minimally invasive surgical procedure with minimal morbidity and postoperative reflux esophagitis in patients with upper-third early-stage gastric cancer.</description><identifier>ISSN: 0364-2313</identifier><identifier>EISSN: 1432-2323</identifier><identifier>DOI: 10.1007/s00268-011-1223-3</identifier><identifier>PMID: 21882026</identifier><identifier>CODEN: WJSUDI</identifier><language>eng</language><publisher>New York: Springer-Verlag</publisher><subject>Abdominal Surgery ; Adult ; Aged ; Aged, 80 and over ; Biological and medical sciences ; Cardiac Surgery ; Circular Stapler ; Digestive system. Abdomen ; Early Gastric Cancer ; Endoscopy ; Feasibility Studies ; Female ; Gastrectomy - methods ; Gastric Cancer ; Gastroenterostomy - methods ; Gastroesophageal Reflux - etiology ; Gastroesophageal Reflux - prevention & control ; General aspects ; General Surgery ; Humans ; Investigative techniques, diagnostic techniques (general aspects) ; Laparoscopic Gastrectomy ; Laparoscopy ; Lymphatic Metastasis ; Male ; Medical sciences ; Medicine ; Medicine & Public Health ; Middle Aged ; Neoplasm Staging ; Postoperative Complications - prevention & control ; Sentinel Lymph Node Biopsy ; Sentinel Node ; Stomach Neoplasms - pathology ; Stomach Neoplasms - surgery ; Stomach, duodenum, intestine, rectum, anus ; Surgery ; Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases ; Surgery of the digestive system ; Thoracic Surgery ; Treatment Outcome ; Vascular Surgery</subject><ispartof>World journal of surgery, 2011-11, Vol.35 (11), p.2463-2471</ispartof><rights>Société Internationale de Chirurgie 2011</rights><rights>2011 The Author(s) under exclusive licence to Société Internationale de Chirurgie</rights><rights>2015 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4507-62ddb9374a42a39b5df090aab599995d19a75c6ddcbe76d579809d2700ee007c3</citedby><cites>FETCH-LOGICAL-c4507-62ddb9374a42a39b5df090aab599995d19a75c6ddcbe76d579809d2700ee007c3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00268-011-1223-3$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00268-011-1223-3$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,780,784,1416,27915,27916,41479,42548,45565,45566,51310</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=25376233$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/21882026$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Takeuchi, Hiroya</creatorcontrib><creatorcontrib>Oyama, Takashi</creatorcontrib><creatorcontrib>Kamiya, Satoshi</creatorcontrib><creatorcontrib>Nakamura, Rieko</creatorcontrib><creatorcontrib>Takahashi, Tsunehiro</creatorcontrib><creatorcontrib>Wada, Norihito</creatorcontrib><creatorcontrib>Saikawa, Yoshiro</creatorcontrib><creatorcontrib>Kitagawa, Yuko</creatorcontrib><title>Laparoscopy-assisted Proximal Gastrectomy with Sentinel Node Mapping for Early Gastric Cancer</title><title>World journal of surgery</title><addtitle>World J Surg</addtitle><addtitle>World J Surg</addtitle><description>Background
Laparoscopy-assisted proximal gastrectomy (LAPG) remains a relatively uncommon procedure because of certain technical issues, such as curability, safety, and retention of postoperative patients’ quality of life. The aim of the present study was to evaluate the feasibility of a newly developed LAPG procedure for early-stage proximal gastric cancer.
Methods
We enrolled 37 consecutive patients who were preoperatively diagnosed with cT1N0M0 primary gastric cancer in the upper third of the stomach with the primary tumor diameter less than 4 cm. Laparoscopy-assisted proximal gastrectomy with sentinel node (SN) mapping and esophagogastric anastomosis with a circular stapler and transoral placement of the anvil was attempted.
Results
The LAPG procedure was completed in 36 patients. It was converted to laparoscopy-assisted total gastrectomy in one patient because one SN detected intraoperatively was positive for metastasis by intraoperative pathological diagnosis. There were no severe postoperative complications in any patient. Only one patient (3%) complained of mild reflux symptoms immediately after operation, which were graded endoscopically as B by the Los Angeles Classification of gastroesophageal reflux disease; however, the symptoms were controlled well by a proton-pump inhibitor. Sentinel nodes were detected successfully in 37 (100%) of our patients. The mean number of dissected lymph nodes and identified SNs per case was 29.7 and 5.8, respectively. The sensitivity of prediction of nodal metastasis (including isolated tumor cells) and diagnostic accuracy based on SN status were 100% (3/3) and 100% (37/37), respectively. All patients have been free from recurrence for a median follow-up period of 26 months.
Conclusions
This study reveals that our novel LAPG approach is curative and represents a feasible minimally invasive surgical procedure with minimal morbidity and postoperative reflux esophagitis in patients with upper-third early-stage gastric cancer.</description><subject>Abdominal Surgery</subject><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Biological and medical sciences</subject><subject>Cardiac Surgery</subject><subject>Circular Stapler</subject><subject>Digestive system. Abdomen</subject><subject>Early Gastric Cancer</subject><subject>Endoscopy</subject><subject>Feasibility Studies</subject><subject>Female</subject><subject>Gastrectomy - methods</subject><subject>Gastric Cancer</subject><subject>Gastroenterostomy - methods</subject><subject>Gastroesophageal Reflux - etiology</subject><subject>Gastroesophageal Reflux - prevention & control</subject><subject>General aspects</subject><subject>General Surgery</subject><subject>Humans</subject><subject>Investigative techniques, diagnostic techniques (general aspects)</subject><subject>Laparoscopic Gastrectomy</subject><subject>Laparoscopy</subject><subject>Lymphatic Metastasis</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Middle Aged</subject><subject>Neoplasm Staging</subject><subject>Postoperative Complications - prevention & control</subject><subject>Sentinel Lymph Node Biopsy</subject><subject>Sentinel Node</subject><subject>Stomach Neoplasms - pathology</subject><subject>Stomach Neoplasms - surgery</subject><subject>Stomach, duodenum, intestine, rectum, anus</subject><subject>Surgery</subject><subject>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</subject><subject>Surgery of the digestive system</subject><subject>Thoracic Surgery</subject><subject>Treatment Outcome</subject><subject>Vascular Surgery</subject><issn>0364-2313</issn><issn>1432-2323</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2011</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNqFkF2L1DAUhoMo7jj6A7yRICx7VT1J2qS51GG_ZPyAVbySkCbpmqXT1KTD2n-_KZ11QRBzk1w878l7HoReEnhDAMTbBEB5XQAhBaGUFewRWpGS0YIyyh6jFTBe5jdhR-hZSjcARHDgT9ERJXVNc3aFfmz1oGNIJgxToVPyaXQWf4nht9_pDp_rNEZnxrCb8K0ff-Ir14--dx3-FKzDH_Uw-P4atyHiUx27aQl4gze6Ny4-R09a3SX34nCv0bez06-bi2L7-fxy825bmLICUXBqbSOZKHVJNZNNZVuQoHVTyXwqS6QWleHWmsYJbisha5CWCgDnsgfD1uhkmTvE8Gvv0qh2PhnXdbp3YZ9ULWsimCxJJl__Rd6EfexzuQzNiMzgGpEFMtlMiq5VQ8w64qQIqNm8WsyrbF7N5hXLmVeHwftm5-yfxL3qDBwfAJ2M7tqYDfn0wFVMcMrmQXLhbn3npv__rL5_uHp_BhVnc3G6ZFOO9dcuPmz37-Z3ctqrWg</recordid><startdate>201111</startdate><enddate>201111</enddate><creator>Takeuchi, Hiroya</creator><creator>Oyama, Takashi</creator><creator>Kamiya, Satoshi</creator><creator>Nakamura, Rieko</creator><creator>Takahashi, Tsunehiro</creator><creator>Wada, Norihito</creator><creator>Saikawa, Yoshiro</creator><creator>Kitagawa, Yuko</creator><general>Springer-Verlag</general><general>Springer‐Verlag</general><general>Springer</general><general>Springer Nature B.V</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7QO</scope><scope>7T5</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FD</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>H94</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>P64</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope></search><sort><creationdate>201111</creationdate><title>Laparoscopy-assisted Proximal Gastrectomy with Sentinel Node Mapping for Early Gastric Cancer</title><author>Takeuchi, Hiroya ; Oyama, Takashi ; Kamiya, Satoshi ; Nakamura, Rieko ; Takahashi, Tsunehiro ; Wada, Norihito ; Saikawa, Yoshiro ; Kitagawa, Yuko</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4507-62ddb9374a42a39b5df090aab599995d19a75c6ddcbe76d579809d2700ee007c3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2011</creationdate><topic>Abdominal Surgery</topic><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Biological and medical sciences</topic><topic>Cardiac Surgery</topic><topic>Circular Stapler</topic><topic>Digestive system. Abdomen</topic><topic>Early Gastric Cancer</topic><topic>Endoscopy</topic><topic>Feasibility Studies</topic><topic>Female</topic><topic>Gastrectomy - methods</topic><topic>Gastric Cancer</topic><topic>Gastroenterostomy - methods</topic><topic>Gastroesophageal Reflux - etiology</topic><topic>Gastroesophageal Reflux - prevention & control</topic><topic>General aspects</topic><topic>General Surgery</topic><topic>Humans</topic><topic>Investigative techniques, diagnostic techniques (general aspects)</topic><topic>Laparoscopic Gastrectomy</topic><topic>Laparoscopy</topic><topic>Lymphatic Metastasis</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Middle Aged</topic><topic>Neoplasm Staging</topic><topic>Postoperative Complications - prevention & control</topic><topic>Sentinel Lymph Node Biopsy</topic><topic>Sentinel Node</topic><topic>Stomach Neoplasms - pathology</topic><topic>Stomach Neoplasms - surgery</topic><topic>Stomach, duodenum, intestine, rectum, anus</topic><topic>Surgery</topic><topic>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</topic><topic>Surgery of the digestive system</topic><topic>Thoracic Surgery</topic><topic>Treatment Outcome</topic><topic>Vascular Surgery</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Takeuchi, Hiroya</creatorcontrib><creatorcontrib>Oyama, Takashi</creatorcontrib><creatorcontrib>Kamiya, Satoshi</creatorcontrib><creatorcontrib>Nakamura, Rieko</creatorcontrib><creatorcontrib>Takahashi, Tsunehiro</creatorcontrib><creatorcontrib>Wada, Norihito</creatorcontrib><creatorcontrib>Saikawa, Yoshiro</creatorcontrib><creatorcontrib>Kitagawa, Yuko</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Biotechnology Research Abstracts</collection><collection>Immunology Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Technology Research Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Engineering Research Database</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><jtitle>World journal of surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Takeuchi, Hiroya</au><au>Oyama, Takashi</au><au>Kamiya, Satoshi</au><au>Nakamura, Rieko</au><au>Takahashi, Tsunehiro</au><au>Wada, Norihito</au><au>Saikawa, Yoshiro</au><au>Kitagawa, Yuko</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Laparoscopy-assisted Proximal Gastrectomy with Sentinel Node Mapping for Early Gastric Cancer</atitle><jtitle>World journal of surgery</jtitle><stitle>World J Surg</stitle><addtitle>World J Surg</addtitle><date>2011-11</date><risdate>2011</risdate><volume>35</volume><issue>11</issue><spage>2463</spage><epage>2471</epage><pages>2463-2471</pages><issn>0364-2313</issn><eissn>1432-2323</eissn><coden>WJSUDI</coden><abstract>Background
Laparoscopy-assisted proximal gastrectomy (LAPG) remains a relatively uncommon procedure because of certain technical issues, such as curability, safety, and retention of postoperative patients’ quality of life. The aim of the present study was to evaluate the feasibility of a newly developed LAPG procedure for early-stage proximal gastric cancer.
Methods
We enrolled 37 consecutive patients who were preoperatively diagnosed with cT1N0M0 primary gastric cancer in the upper third of the stomach with the primary tumor diameter less than 4 cm. Laparoscopy-assisted proximal gastrectomy with sentinel node (SN) mapping and esophagogastric anastomosis with a circular stapler and transoral placement of the anvil was attempted.
Results
The LAPG procedure was completed in 36 patients. It was converted to laparoscopy-assisted total gastrectomy in one patient because one SN detected intraoperatively was positive for metastasis by intraoperative pathological diagnosis. There were no severe postoperative complications in any patient. Only one patient (3%) complained of mild reflux symptoms immediately after operation, which were graded endoscopically as B by the Los Angeles Classification of gastroesophageal reflux disease; however, the symptoms were controlled well by a proton-pump inhibitor. Sentinel nodes were detected successfully in 37 (100%) of our patients. The mean number of dissected lymph nodes and identified SNs per case was 29.7 and 5.8, respectively. The sensitivity of prediction of nodal metastasis (including isolated tumor cells) and diagnostic accuracy based on SN status were 100% (3/3) and 100% (37/37), respectively. All patients have been free from recurrence for a median follow-up period of 26 months.
Conclusions
This study reveals that our novel LAPG approach is curative and represents a feasible minimally invasive surgical procedure with minimal morbidity and postoperative reflux esophagitis in patients with upper-third early-stage gastric cancer.</abstract><cop>New York</cop><pub>Springer-Verlag</pub><pmid>21882026</pmid><doi>10.1007/s00268-011-1223-3</doi><tpages>9</tpages></addata></record> |
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| source | MEDLINE; Wiley Online Library Journals Frontfile Complete; Springer Nature - Complete Springer Journals |
| subjects | Abdominal Surgery Adult Aged Aged, 80 and over Biological and medical sciences Cardiac Surgery Circular Stapler Digestive system. Abdomen Early Gastric Cancer Endoscopy Feasibility Studies Female Gastrectomy - methods Gastric Cancer Gastroenterostomy - methods Gastroesophageal Reflux - etiology Gastroesophageal Reflux - prevention & control General aspects General Surgery Humans Investigative techniques, diagnostic techniques (general aspects) Laparoscopic Gastrectomy Laparoscopy Lymphatic Metastasis Male Medical sciences Medicine Medicine & Public Health Middle Aged Neoplasm Staging Postoperative Complications - prevention & control Sentinel Lymph Node Biopsy Sentinel Node Stomach Neoplasms - pathology Stomach Neoplasms - surgery Stomach, duodenum, intestine, rectum, anus Surgery Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases Surgery of the digestive system Thoracic Surgery Treatment Outcome Vascular Surgery |
| title | Laparoscopy-assisted Proximal Gastrectomy with Sentinel Node Mapping for Early Gastric Cancer |
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