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Establishment of thoraco- and laparoscopic esophagactomy as a minimally invasive surgery

Research Project

Project/Area Number 14571229
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeSingle-year Grants
Section一般
Research Field Digestive surgery
Research InstitutionShowa University

Principal Investigator

INOUE Haruhiro  Showa University, Digestive Disease Center, Northern Yokohama Hospital, Associate professor (90280966)

Co-Investigator(Kenkyū-buntansha) YOSHIDA Tatsuya  Showa University, Digestive Disease Center, Northern Yokohama Hospital, Assistant (00338526)
ENDO Syungo  Showa University, Digestive Disease Center, Northern Yokohama Hospital, Assistant professor (10223687)
TANAKA Jyunichi  Showa University, Digestive Disease Center, Northern Yokohama Hospital, Associate professor (30171763)
KUDO Shinei  Showa University, Digestive Disease Center, Northern Yokohama Hospital, Professor (70161643)
梅沢 昭子  昭和大学, 医学部, 助手 (20338453)
Project Period (FY) 2002 – 2003
Project Status Completed (Fiscal Year 2003)
Budget Amount *help
¥2,800,000 (Direct Cost: ¥2,800,000)
Fiscal Year 2003: ¥1,200,000 (Direct Cost: ¥1,200,000)
Fiscal Year 2002: ¥1,600,000 (Direct Cost: ¥1,600,000)
Keywordsminimally invasive surgery / Thoraco, laparoscopic surgery / esophageal cancer / HALS / Thoracosoopic surgery / Laparoscopic surgery / Ropeway technique / recurrent laryngeal nerve / 鏡視下食道切除再建術 / 胸部食道癌
Research Abstract

We endeavored to develop a minimally invasive surgery for esophageal cancer using thoraco- and laparoscopic approach.
The first clinical case received this surgical procedure in June 2, 1997. Ten years have passed after that surgery, and now he is doing well with no recurrence of esophageal cancer. Our surgical procedure is a combination of HALS (hand-assisted laparoscopic surgery) procedure and VATS (video-assisted thoracoscopic surgery). In the initial phase of the surgery, cervical area and abdominal areas are firstly approached. Using HALS technique, whole stomach is fully mobilized and then gastric tube is designed. Transphrenic dissection of lower esophagus is done by laparoscopic approach. Bilateral cervical dissection is performed from neck surgical wound. In the cervical operative field, bilateral recurrent laryngeal nerves are taped by vascular tape which is utilized for safe and effective management of lymph node dissection along the recurrent laryngeal nerves at the thoracoscopic phase. We call this technique as "ropeway technique".
So far, 120 cases received this procedure as a surgery for esophageal cancer. One month operative death was one (0.8%). In that case the major cause of death was renal failure with no major surgical trouble. Crude overall five year survival rate including other causes of death was 56%. Mean operating time was less than 6 hours.
We believe that the techniques of thoraco- and laparoscopic surgery for the esophagus have been established. In the future further improvement of the surgical techniques is expected as a more minimally invasive treatment.

Report

(3 results)
  • 2003 Annual Research Report   Final Research Report Summary
  • 2002 Annual Research Report
  • Research Products

    (17 results)

All 2003 2002 Other

All Journal Article (4 results) Book (1 results) Publications (12 results)

  • [Journal Article] Endoscopic Mucosal Resection in the Esophagus2003

    • Author(s)
      Inoue H., Kudo S
    • Journal Title

      Laparoscopic Surgery of the Abdomen 1

      Pages: 5-11

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2003 Final Research Report Summary
  • [Journal Article] In early adenocarcinomas,are endoscopic ultrasonography findings of value for the indications of endoscopic mucosal esection2003

    • Author(s)
      Inoue H., Nagai K., kawano T., Iwai T., Endo M.
    • Journal Title

      D.E.S.O.barrett's esophagus 1

      Pages: 780-782

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2003 Final Research Report Summary
  • [Journal Article] Development of Virtual Histrogyand Virtual Biopsy Using Laser-scanning Confocal Microscopy2003

    • Author(s)
      Inouem H., J.-Y. Cho
    • Journal Title

      Scandinavian Journal of Gastroenterology 38

      Pages: 37-39

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2003 Final Research Report Summary
  • [Journal Article] Dynamism of tumor vasculature in the early phase of cancer progression outcomes from esophageal cancer.2003

    • Author(s)
      Kumagai Y., Toi M., Inoue H.
    • Journal Title

      The lancet Oncology 3

      Pages: 604-610

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2003 Final Research Report Summary
  • [Book] sastroenterological endoscopy2002

    • Author(s)
      Inoue H., Kudo S
    • Total Pages
      777
    • Publisher
      Thieme
    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2003 Final Research Report Summary
  • [Publications] Inoue H., Kudo S.: "Endoscopic Mucosal Resection in the Esophagus"Laparoscopic Surgery of the Abdomen. 1. 5-11 (2003)

    • Related Report
      2003 Annual Research Report
  • [Publications] Inoue H., Nagai K., Kawano T., Iwai T., Endo M.: "In early adenocarcinomas, are endoscopic ultrasonography findings of value for the indications of endoscopic mucosal resection ?"O.E.S.O. Barrett's esophagus. 1. 780-782 (2003)

    • Related Report
      2003 Annual Research Report
  • [Publications] Inoue H., J.-Y.Cho: "Development of Virtual Histrogy and Virtual Biopsy Using Laser-scanning Confocal Microscopy"Scandinavian Journal of Gastroenterology. 38. 37-39 (2003)

    • Related Report
      2003 Annual Research Report
  • [Publications] Kumagai Y., Toi M., Inoue H.: "Dynamism of tumor vasculature in the early phase of cancer progression : outcomes from esophageal cancer."The lancet Oncology. 3. 604-610 (2003)

    • Related Report
      2003 Annual Research Report
  • [Publications] Inoue H., Kudo S.: "Gastroenterological endoscopy"Thieme. 777 (2002)

    • Related Report
      2003 Annual Research Report
  • [Publications] 井上晴洋, 工藤進英: "食道癌に対する鏡視下食道切除・再建術"日本気管食道科学会報. 53. 61 (2002)

    • Related Report
      2002 Annual Research Report
  • [Publications] Yoshida T, Inoue H, et al.: "Newly developed 3D endoscopic systeme : preliminary experience"Endoscopy. 35. 181-184 (2002)

    • Related Report
      2002 Annual Research Report
  • [Publications] Kumagai Y, Fukami N, Inoue H: "Dynamism of tumour vasculature in the early phase of cancer progression : outcomes from oesophageal cancer research"THE LANCET Oncology. 3. 604-609 (2002)

    • Related Report
      2002 Annual Research Report
  • [Publications] Inoue H, Fukami N, Yoshida T, et al.: "Endoscopic mucosal resection for esophageal and gastric cancers"J Gastroenterol and Hepatol. 17. 382-388 (2002)

    • Related Report
      2002 Annual Research Report
  • [Publications] Roy MS, Friedland S, Chang K, Inoue H: "Endoscopic mucosal resection -application in the upper gastrointestinal tract"Practical gastroenterology. 66-74 (2002)

    • Related Report
      2002 Annual Research Report
  • [Publications] 井上晴洋, 吉田達也, 岩下方影, 他: "拡大内視鏡による食道癌の病期診断"消化器内視鏡. 14. 565-572 (2002)

    • Related Report
      2002 Annual Research Report
  • [Publications] Inoue H, Kudo S: "Gastroenterological endoscopy"Thieme. 777 (2002)

    • Related Report
      2002 Annual Research Report

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Published: 2002-04-01   Modified: 2016-04-21  

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