Abhijit Sarma1
INTRODUCTION
This study was performed to check Laparoscopic Surgery in the management of early Gastric Cancer. For that we choose laparoscopic and laparoscopic Assisted Gastrectomies for 119 cases. It was performed during the period from June 1996 to February 2002 in Kameda Medical Center, Kamogawa, Japan. Male and female ratio was 2.78:1. The age range was 48-88 years (65.5).
MATERIALS AND METHODS
1. Laparoscopic Intragastric Mucosal Resection (LIMR).
2. Local Resection by Lesion Lifting Method (LLM).
3. Laparoscopy-Assisted Distal Gastrectomy (LADG).
4. Intragastric Mucosal Resection through laparotomy.
RESULTS OF THIS STUDY AFTER USING SURGICAL TECHNIQUES ARE AS FOLLOWS-
1. The tear was successfully closed by intragastric hand suturing technique.
2. All the planned laparoscopic procedures were completed in all the cases and the operation was finished after the confirmation of tumor free margins on frozen section biopsy specimen.
3. All resected specimen underwent detailed histopathologic examination. Subsequent diagnosis includes stomach cancer in 106 cases, duodenal cancer in 1 case and stomach adenoma in 5 cases. 8cases of stromal tumors were resected laparoscopically.
4. We have not lost even a single patient in follow up or due to mortality. Five year follow up is present in the first year group.
5. 06 patients who were diagnosed with EGC have been successfully treated with 4 laparoscopic techniques at our institute from June 1996 to February 2002.
CONCLUSION
We, in our study had no mortality or local recurrence to date but our follow up is obviously too short to draw any conclusions. If patients are selected properly, we on the basis of our study propose that laparoscopic procedures are curative.1,2 When performed by a skilled surgeon, laparoscopic resection is a safe and useful technique in the management of Early Gastric Cancer.
