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

doi:10.3892/mco.2017.1191

April-2017 Volume 6 Issue 4

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April-2017 Volume 6 Issue 4

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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

Authors:
- Takaya Tokuhara
- Eiji Nakata
- Toshiyuki Tenjo
- Isao Kawai
- Syunpei Satoi
- Keisuke Inoue
- Mariko Araki
- Hirofumi Ueda
- Chihiro Higashi
View Affiliations / Copyright

Affiliations: Department of Surgery, Otori Stomach and Intestines Hospital, Sakai, Osaka 593‑8311, Japan

Copyright: © Tokuhara et al. This is an open access article distributed under the terms of Creative Commons Attribution License.
Pages: 483-486
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Published online on: March 9, 2017

https://doi.org/10.3892/mco.2017.1191
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Abstract

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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1	Kitano S, Iso Y, Moriyama M and Sugimachi K: Laparoscopy-assisted Billroth I gastrectomy. Surg Laparosc Endosc. 4:146–148. 1994.PubMed/NCBI
2	Kanaya S, Gomi T, Momoi H, Tamaki N, Isobe H, Katayama T, Wada Y and Ohtoshi M: Delta-shaped anastomosis in totally laparoscopic Billroth-I gastrectomy: New technique of intraabdominal gastroduodenostomy. J Am Coll Surg. 195:284–287. 2002. View Article : Google Scholar : PubMed/NCBI
3	Takaori K, Nomura E, Mabuchi H, Lee SW, Agui T, Miyamoto Y, Iwamoto M, Watanabe H and Tanigawa N: A secure technique of intracorporeal Roux-Y reconstruction after laparoscopic distal gastrectomy. Am J Surg. 189:178–183. 2005. View Article : Google Scholar : PubMed/NCBI
4	Lee SW, Tanigawa N, Nomura E, Tokuhara T, Kawai M, Yokoyama K, Hiramatsu M, Okuda J and Uchiyama K: Benefits of intracorporeal gastrointestinal anastomosis following laparoscopic distal gastrectomy. World J Surg Oncol. 10:2672012. View Article : Google Scholar : PubMed/NCBI
5	Kim HI, Hyung WJ, Lee CR, Lim JS, An JY, Cheong JH, Choi SH and Noh SH: Intraoperative portable abdominal radiograph for tumor localization: A simple and accurate method for laparoscopic gastrectomy. Surg Endosc. 25:958–963. 2011. View Article : Google Scholar : PubMed/NCBI
6	Kinoshita T, Shibasaki H, Oshiro T, Ooshiro M, Okazumi S and Katoh R: Comparison of laparoscopy-assisted and total laparoscopic Billroth-I gastrectomy for gastric cancer: A report of short term outcomes. Surg Endosc. 25:1395–1401. 2011. View Article : Google Scholar : PubMed/NCBI
7	Kanaya S, Kawamura Y, Kawada H, Iwasaki H, Gomi T, Satoh S and Uyama I: The delta-shaped anastomosis in laparoscopic distal gastrectomy: Analysis of the initial 100 consecutive procedures of intracorporeal gastroduodenostomy. Gastric Cancer. 14:365–371. 2011. View Article : Google Scholar : PubMed/NCBI
8	Hyung WJ, Lim JS, Cheong JH, Kim J, Choi SH, Song SY and Noh SH: Intraoperative tumor localization using laparoscopic ultrasonography in laparoscopic-assisted gastrectomy. Surg Endosc. 19:1353–1357. 2005. View Article : Google Scholar : PubMed/NCBI
9	Japanese Gastric Cancer Association, . Japanese classification of gastric carcinoma: III English edition. Gastric Cancer. 14:101–112. 2011. View Article : Google Scholar : PubMed/NCBI
10	Okamura R, Hamagaki M, Hayashi M, Kuwana M, Yamamoto H, Shinofuji M, Yamamoto A, Inoue S, Satomi T, Fujita N, et al: Preoperative endoscopic injection of carbon ink as a method to demarcate area for gastrectomy applied to early gastric cancers. Stomach and Intestine. 23:441–445. 1988.
11	Japanese Gastric Cancer Association, . Japanese gastric cancer treatment guidelines 2010 (ver. 3). Gastric Cancer. 14:113–123. 2011. View Article : Google Scholar : PubMed/NCBI

Journals

International Journal of Molecular Medicine

International Journal of Oncology

Molecular Medicine Reports

Oncology Reports

Experimental and Therapeutic Medicine

Oncology Letters

Biomedical Reports

Molecular and Clinical Oncology

World Academy of Sciences Journal

International Journal of Functional Nutrition

International Journal of Epigenetics

Medicine International

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

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