論文

査読有り 国際誌
2019年10月

Combination of laparoscopic and endoscopic approaches for neoplasia with non-exposure technique (CLEAN-NET) for gastric submucosal tumors: updated advantages and limitations.

Annals of translational medicine
  • Manabu Onimaru
  • ,
  • Haruhiro Inoue
  • ,
  • Haruo Ikeda
  • ,
  • Mary Raina Angeli Abad
  • ,
  • Bianca Maria Quarta Colosso
  • ,
  • Yuto Shimamura
  • ,
  • Kazuya Sumi
  • ,
  • Yoshio Deguchi
  • ,
  • Hiroaki Ito
  • ,
  • Noboru Yokoyama

7
20
開始ページ
582
終了ページ
582
記述言語
英語
掲載種別
研究論文(学術雑誌)
DOI
10.21037/atm.2019.09.19

Laparoscopic and endoscopic cooperative surgery (LECS) for gastric submucosal tumors (SMTs) has been developed under the concept of resecting gastric tumors with both complete curability and preserving organ functions. Precise resection is obtained by classical LECS, however, concerns regarding intraoperative bacterial infection and dissemination of the tumor cells into the abdominal cavity by LECS with exposure technique still remain. To prevent these concerns, several LECS-related procedures with non-exposure techniques, such as combination of laparoscopic and endoscopic approaches for neoplasia with non-exposure technique (CLEAN-NET) and non-exposed endoscopic wall-inversion surgery (NEWS), have been reported to be safe and feasible. Classical LECS, CLEAN-NET, and NEWS have the same concept, however, each has its own different characteristic procedures; exposure or non-exposure technique, inversion of the tumor into or outer the lumen, retrieval of tumor per oral or through the abdominal cavity, and dominance in the role of the endoscopist or the laparoscopic surgeon. Familiarization with these procedure details is important to understand their indications, advantages and limitations, resulting in providing a tailored minimally invasive surgery for patients. The main scope of this review article is to introduce readers to the clinical application, procedure, and results of CLEAN-NET, both from previous literatures and from our experience, as well as to offer a closer look at its advantages and limitations while comparing with other LECS procedures from the viewpoint of introducing CLEAN-NET first.

リンク情報
DOI
https://doi.org/10.21037/atm.2019.09.19
PubMed
https://www.ncbi.nlm.nih.gov/pubmed/31807563
PubMed Central
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6861760
ID情報
  • DOI : 10.21037/atm.2019.09.19
  • PubMed ID : 31807563
  • PubMed Central 記事ID : PMC6861760

エクスポート
BibTeX RIS