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Related Concept Videos

Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy01:26

Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy

Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
Sigmoidoscopy
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Endoscopic Procedures I: Esophagogastroduodenoscopy01:29

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An Esophagogastroduodenoscopy (EGD) is a diagnostic procedure in which an endoscopist uses a flexible, lighted endoscope to visualize the upper gastrointestinal (GI) tract. The procedure includes visualizing the oropharynx, esophagus, stomach, and the first part of the small intestine, the duodenum.
During an EGD, the endoscope can be used to:

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Updated: Jun 23, 2026

Single Incision Plus One Port Laparoscopic Proximal Gastrectomy with Double Channel Anastomosis for Gastric Cancer Treatment
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Published on: December 27, 2024

Developing an institutional protocol guideline for laparoscopy-assisted distal gastrectomy.

Sang Eok Lee1, Young-Woo Kim, Jun Ho Lee

  • 1Gastric Cancer Branch, Research Institute and Hospital, National Cancer Center, Goyang, Korea.

Annals of Surgical Oncology
|May 12, 2009
PubMed
Summary

Laparoscopy-assisted distal gastrectomy (LADG) is safe and effective for early gastric cancer, showing similar survival rates to open surgery. However, careful guidelines are needed before expanding its use.

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Area of Science:

  • Surgical Oncology
  • Minimally Invasive Surgery
  • Gastrointestinal Surgery

Background:

  • Technical challenges in lymph node dissection limit laparoscopy-assisted distal gastrectomy (LADG) adoption.
  • Current institutional guidelines restrict LADG to clinical stage T1N0 or T1N1 gastric cancer.

Purpose of the Study:

  • To evaluate the safety and efficacy of LADG based on institutional guidelines for early-stage gastric cancer.
  • To compare LADG with open distal gastrectomy (ODG) in terms of surgical outcomes, complications, and survival.

Main Methods:

  • A retrospective comparison of 294 LADG cases and 664 ODG cases for clinical T1N0/T1N1 gastric cancer.
  • Data collected included clinicopathologic characteristics, operative time, lymph node retrieval, postoperative stay, morbidity, and survival rates.

Main Results:

  • LADG had a longer operating time but retrieved more lymph nodes than ODG.
  • LADG resulted in a shorter hospital stay and lower complication rates.
  • No significant difference in overall survival rates was observed between LADG and ODG groups.

Conclusions:

  • LADG is a viable option for early gastric cancer (T1N0/T1N1) with comparable survival to ODG.
  • Developing clear guidelines and conducting audits are crucial before expanding LADG indications.
  • LADG demonstrates potential benefits in reduced morbidity and shorter hospital stays.