Hybrid NOTES: Combined Laparo-endoscopic Full-thickness Resection Techniques

Area of Science:

• Gastroenterology
• Surgical Oncology
• Minimally Invasive Surgery

Background:

• Minimally destructive procedures like laparoscopic surgery and therapeutic endoscopy are increasingly challenging conventional surgical methods.
• Subepithelial tumors require effective and safe removal techniques.

Purpose of the Study:

• To evaluate laparoendoscopic full-thickness resection as a primary option for subepithelial tumor removal.
• To explore the potential of combined laparoscopic and endoscopic approaches in gastric cancer resection, focusing on peritoneal cavity integrity.

Main Methods:

• The study focuses on the theoretical advantages and technical feasibility of laparoendoscopic full-thickness resection.
• It discusses the integration of laparoscopic and endoscopic techniques for neoplasia treatment.

Main Results:

• Laparoendoscopic full-thickness resection is identified as a highly appropriate method for subepithelial tumor removal due to its theoretical benefits and technical feasibility.
• The combination of laparoscopic and endoscopic approaches presents potential advantages for gastric cancer resection, particularly in preventing peritoneal contamination.

Conclusions:

• Laparoendoscopic full-thickness resection provides valuable experience for surgeons.
• This technique facilitates the safe development of endoscopic full-thickness resection skills, improving outcomes in gastrointestinal tumor treatment.