ISSN |
1007-9327 (print) and 2219-2840 (online) |
Open Access |
This is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/ |
Copyright |
© The Author(s) 2019. Published by Baishideng Publishing Group Inc. All rights reserved. |
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Publisher |
Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA |
Website |
http://www.wjgnet.com |
Category |
Gastroenterology & Hepatology |
Manuscript Type |
Retrospective Study |
Article Title |
Additional laparoscopic gastrectomy after noncurative endoscopic submucosal dissection for early gastric cancer: A single-center experience
|
Manuscript Source |
Unsolicited Manuscript |
All Author List |
Yan-Tao Tian, Fu-Hai Ma, Gui-Qi Wang, Yue-Ming Zhang, Dou-Li Zhou, Yi-Bin Xie, Yu-Xin Zhong, Ying-Tai Chen, Quan Xu and Dong-Bing Zhao |
ORCID |
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Funding Agency and Grant Number |
Funding Agency |
Grant Number |
National Natural Science Foundation of China |
81772642 |
Beijing Municipal Science and Technology Commission |
Z161100000116045 |
Capital’s Funds for Health Improvement and Research |
CFH 2018-2-4022 |
|
Corresponding Author |
Dong-Bing Zhao, MD, Doctor, Doctor, Professor, Surgeon, Department of Pancreatic and Gastric Surgery, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, No.17 Panjiayuan Nanli, Chaoyang District, Beijing 100021, China. dbzhao2003@sina.com |
Key Words |
Early gastric cancer; Endoscopic submucosal dissection; Laparoscopic gastrectomy; Residual cancer; Lymph node metastasis; |
Core Tip |
It is controversial whether additional gastrectomy is necessary for all patients that do not meet the curative criteria after endoscopic submucosal dissection (ESD). Therefore, it would be valuable to determine which factors could increase the risks of residual cancer or lymph node metastasis in patients after noncurative ESD of in order to avoid unnecessary surgery. We found the gastrectomy was necessary not only for patients who had positive margin in ESD, but also for cases with neural invasion, undifferentiated type and submucosal invasion more than 500 µm. Laparoscopic gastrectomy is a safe, minimally invasive, and feasible procedure for additional surgery after noncurative ESD. |
Publish Date |
2019-08-07 07:09 |
Citation |
Tian YT, Ma FH, Wang GQ, Zhang YM, Dou LZ, Xie YB, Zhong YX, Chen YT, Xu Q, Zhao DB. Additional laparoscopic gastrectomy after noncurative endoscopic submucosal dissection for early gastric cancer: A single-center experience. World J Gastroenterol 2019; 25(29): 3996-4006 |
URL |
https://www.wjgnet.com/1007-9327/full/v25/i29/3996.htm |
DOI |
https://dx.doi.org/10.3748/wjg.v25.i29.3996 |