©The Author(s) 2022. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Gastrointest Endosc. Aug 16, 2022; 14(8): 508-511
Published online Aug 16, 2022. doi: 10.4253/wjge.v14.i8.508
Published online Aug 16, 2022. doi: 10.4253/wjge.v14.i8.508
Laparoscopic and endoscopic cooperative surgery for full-thickness resection and sentinel node dissection for early gastric cancer
Serafino Vanella, Maria Godas, Ana Pereira, Ivano Apicella, Francesco Crafa, Department of General and Oncology Surgery, St. Giuseppe Moscati Hospital, Avellino 83100, Italy
Joaquim Costa Pereira, Ana Pereira, Department of General Surgery, Hospital de Braga, Braga 4710-243, Portugal
Author contributions: Vanella S designed the study; Godas M, Pereira AM, and Apicella I conducted the study; Crafa F and Pereira JC revised the letter.
Conflict-of-interest statement: All the authors declare no conflicts of interest.
Corresponding author: Serafino Vanella, MD, PhD, Surgical Oncologist, Department of General and Oncology Surgery, St. Giuseppe Moscati Hospital, C.da Amoretta, Avellino 83100, Italy. nekroma@yahoo.it
Received: March 8, 2022
Peer-review started: March 8, 2022
First decision: April 13, 2022
Revised: April 28, 2022
Accepted: July 18, 2022
Article in press: July 18, 2022
Published online: August 16, 2022
Processing time: 159 Days and 20.2 Hours
Peer-review started: March 8, 2022
First decision: April 13, 2022
Revised: April 28, 2022
Accepted: July 18, 2022
Article in press: July 18, 2022
Published online: August 16, 2022
Processing time: 159 Days and 20.2 Hours
Core Tip
Core Tip: The initial indication for laparoscopic endoscopic cooperative surgery (LECS) was gastric submucosal tumors (SMTs) without ulcerative features. Later, the LECS procedure was expanded to include gastric SMTs with ulceration and gastric cancer (GC) with negligible risk of lymph node metastasis. Currently, LECS can be applied to early GC in which sentinel node (surgical nodal basin) dissection can be performed with intra-operative evaluation by one-step nucleic acid amplification. Modified LECS procedures have been developed, such as inverted LECS, non-exposed endoscopic wall-inversion surgery, a combination of laparoscopic and endoscopic approaches to neoplasia with a non-exposure technique, and closed LECS.