Clinical Endoscopy

Case Reports

Hybrid Natural Orifice Transluminal Endoscopic Surgery with Sentinel Lymph Node Navigation for Deep Early Gastric Cancer in the Fundic Region: Yoon Suk Park, Seong Hwan Kim, Hee Yun Ryu, Young Kwan Cho, Yun Ju Jo, Tae il Son, Young Ok Hong; Clin Endosc 2016;49(3):298-302. Published online March 29, 2016; DOI: https://doi.org/10.5946/ce.2015.114

For patients refusing surgical treatment for deep early gastric cancer, hybrid natural orifice transluminal endoscopic surgery with sentinel lymph node navigation is a potential treatment option, particularly when the anatomic location of the cancer has low probability of lymph node metastasis. We report a case of deep early gastric cancer of the fundus beyond the endoscopic submucosal dissection indication that was treated by hybrid natural orifice transluminal endoscopic surgery with sentinel lymph node navigation. In a conventional approach, a total gastrectomy would have been needed; however, the patient refused surgical intervention. In this case, since the patient showed no positivity of the sentinel lymph node on intraoperative navigation, laparoscopic basin lymph node dissection was not performed. Hybrid natural orifice transluminal endoscopic surgery might be considered for specific regions such as the safety zone where lymph node metastases are less likely to occur.

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Endoscopic trans-esophageal submucosal tunneling surgery: A new therapeutic approach for diseases located around the aorta ventralis
Ying Xiong, Qian-Qian Chen, Ning-Li Chai, Shun-Chang Jiao, En-Qiang Ling Hu
World Journal of Gastroenterology.2019; 25(1): 85. CrossRef
Hysterectomy and salpingo-oophorectomy by transvaginal natural orifice transluminal endoscopic surgery (V-NOTES) assisted by an umbilical camera: Case report and new hybrid technique in gynecology
Hasan Terzi, Unal Turkay, Navdar Dogus Uzun, Mehmet Salıcı
International Journal of Surgery Case Reports.2018; 51: 349. CrossRef
Current Status of Endoscopic Resection of Early Gastric Cancer in Korea
Hwoon-Yong Jung
The Korean Journal of Gastroenterology.2017; 70(3): 121. CrossRef

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A Case of Early Gastric Cancer with Solitary Metastasis to the Pleura: Eun Jung Hwang, Jae Young Jang, Yun Wha Kim, Seok Ho Dong, Hyo Jong Kim, Byung-Ho Kim, Young Woon Chang; Clin Endosc 2013;46(6):666-670. Published online November 19, 2013; DOI: https://doi.org/10.5946/ce.2013.46.6.666

Abstract PDF PubReader ePub

The incidence of early gastric cancer (EGC) has increased to >50% in Korea owing to a higher detection rate caused by rapid advances in diagnostic instrumentation. EGC with distant metastasis has been rarely reported. Here, we report the case of a 76-year-old woman in whom general EGC was initially diagnosed by endoscopy and endoscopic ultrasonography. She subsequently underwent endoscopic submucosal dissection (ESD). Histological examination of the ESD specimen revealed that neoplastic cells were located predominantly in the submucosal layer and submucosal lymphatic channels. Metastatic cancer cells were also found in the pleural effusion. After conducting all analyses, including immunohistochemical staining, we concluded that the patient had primary EGC with pleural metastasis.

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Disease Markers.2019; 2019: 1. CrossRef
The Value of Computed Tomography in Preoperative N Staging of Early Gastric Cancer Meeting the Endoscopic Resection Criteria
Su Jin Kim, Tae Un Kim, Cheol Woong Choi, Dae Hwan Kang, Hyung Wook Kim, Su Bum Park, Hyeong Seok Nam, Dae Gon Ryu
The Korean Journal of Gastroenterology.2017; 70(1): 21. CrossRef
An Early Gastric Cancer Patient With Pleural Metastatic Recurrence
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International Surgery.2016; 101(1-2): 84. CrossRef
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Biomacromolecules.2014; 15(7): 2449. CrossRef

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