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A novel option for preoperative endoscopic marking with India ink in totally laparoscopic distal gastrectomy for gastric cancer: A useful technique considering the morphological characteristics of the stomach

In totally laparoscopic distal gastrectomy (TLDG) for gastric cancer, accurately determining the proximal resection line may be difficult. This is because identifying the lesion intracorporeally is impossible, due to the lack of tactile sense, and, in addition, unlike the intestine, the most proxima...

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Autores principales: Tokuhara, Takaya, Nakata, Eiji, Tenjo, Toshiyuki, Kawai, Isao, Satoi, Syunpei, Inoue, Keisuke, Araki, Mariko, Ueda, Hirofumi, Higashi, Chihiro
Formato: Online Artículo Texto
Lenguaje:English
Publicado: D.A. Spandidos 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5374967/
https://www.ncbi.nlm.nih.gov/pubmed/28413653
http://dx.doi.org/10.3892/mco.2017.1191
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author Tokuhara, Takaya
Nakata, Eiji
Tenjo, Toshiyuki
Kawai, Isao
Satoi, Syunpei
Inoue, Keisuke
Araki, Mariko
Ueda, Hirofumi
Higashi, Chihiro
author_facet Tokuhara, Takaya
Nakata, Eiji
Tenjo, Toshiyuki
Kawai, Isao
Satoi, Syunpei
Inoue, Keisuke
Araki, Mariko
Ueda, Hirofumi
Higashi, Chihiro
author_sort Tokuhara, Takaya
collection PubMed
description In totally laparoscopic distal gastrectomy (TLDG) for gastric cancer, accurately determining the proximal resection line may be difficult. This is because identifying the lesion intracorporeally is impossible, due to the lack of tactile sense, and, in addition, unlike the intestine, the most proximal site of the lesion is often different from the main site due to the distorted shape of the stomach. The aim of this study was to introduce a novel method of preoperative endoscopic marking with India ink, taking into consideration the morphological characteristics of the stomach. Between July, 2013 and April, 2016, 20 patients who underwent TLDG were enrolled in this study. Within the 3 days preceding the operation, after identifying the most proximal site of the lesion on the overlooking image of an endoscope, India ink was injected into the spot on the oral side of this site. The stomach was transected along the proximal border of the marked area. In all cases, the marked sites were localized and clearly identified during the operation, and the proximal resection margins were found to be negative on postoperative pathological examination. The mean length of the proximal margin was 46.0±14.0 mm. In conclusion, this preoperative endoscopic marking method may be useful in TLDG for gastric cancer.
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spelling pubmed-53749672017-04-15 A novel option for preoperative endoscopic marking with India ink in totally laparoscopic distal gastrectomy for gastric cancer: A useful technique considering the morphological characteristics of the stomach Tokuhara, Takaya Nakata, Eiji Tenjo, Toshiyuki Kawai, Isao Satoi, Syunpei Inoue, Keisuke Araki, Mariko Ueda, Hirofumi Higashi, Chihiro Mol Clin Oncol Articles In totally laparoscopic distal gastrectomy (TLDG) for gastric cancer, accurately determining the proximal resection line may be difficult. This is because identifying the lesion intracorporeally is impossible, due to the lack of tactile sense, and, in addition, unlike the intestine, the most proximal site of the lesion is often different from the main site due to the distorted shape of the stomach. The aim of this study was to introduce a novel method of preoperative endoscopic marking with India ink, taking into consideration the morphological characteristics of the stomach. Between July, 2013 and April, 2016, 20 patients who underwent TLDG were enrolled in this study. Within the 3 days preceding the operation, after identifying the most proximal site of the lesion on the overlooking image of an endoscope, India ink was injected into the spot on the oral side of this site. The stomach was transected along the proximal border of the marked area. In all cases, the marked sites were localized and clearly identified during the operation, and the proximal resection margins were found to be negative on postoperative pathological examination. The mean length of the proximal margin was 46.0±14.0 mm. In conclusion, this preoperative endoscopic marking method may be useful in TLDG for gastric cancer. D.A. Spandidos 2017-04 2017-03-09 /pmc/articles/PMC5374967/ /pubmed/28413653 http://dx.doi.org/10.3892/mco.2017.1191 Text en Copyright: © Tokuhara et al. This is an open access article distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivs License (https://creativecommons.org/licenses/by-nc-nd/4.0/) , which permits use and distribution in any medium, provided the original work is properly cited, the use is non-commercial and no modifications or adaptations are made.
spellingShingle Articles
Tokuhara, Takaya
Nakata, Eiji
Tenjo, Toshiyuki
Kawai, Isao
Satoi, Syunpei
Inoue, Keisuke
Araki, Mariko
Ueda, Hirofumi
Higashi, Chihiro
A novel option for preoperative endoscopic marking with India ink in totally laparoscopic distal gastrectomy for gastric cancer: A useful technique considering the morphological characteristics of the stomach
title A novel option for preoperative endoscopic marking with India ink in totally laparoscopic distal gastrectomy for gastric cancer: A useful technique considering the morphological characteristics of the stomach
title_full A novel option for preoperative endoscopic marking with India ink in totally laparoscopic distal gastrectomy for gastric cancer: A useful technique considering the morphological characteristics of the stomach
title_fullStr A novel option for preoperative endoscopic marking with India ink in totally laparoscopic distal gastrectomy for gastric cancer: A useful technique considering the morphological characteristics of the stomach
title_full_unstemmed A novel option for preoperative endoscopic marking with India ink in totally laparoscopic distal gastrectomy for gastric cancer: A useful technique considering the morphological characteristics of the stomach
title_short A novel option for preoperative endoscopic marking with India ink in totally laparoscopic distal gastrectomy for gastric cancer: A useful technique considering the morphological characteristics of the stomach
title_sort novel option for preoperative endoscopic marking with india ink in totally laparoscopic distal gastrectomy for gastric cancer: a useful technique considering the morphological characteristics of the stomach
topic Articles
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5374967/
https://www.ncbi.nlm.nih.gov/pubmed/28413653
http://dx.doi.org/10.3892/mco.2017.1191
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