J Korean Soc Endosc Laparosc Surg.  2009 Dec;12(2):68-73.

Initial Experience with Laparoscopic Surgery for Treating Upper Gastrointestinal Disease

• Ye JB
• Oh SJ
• Hong BH
• Kim DH
• Chang YS
• Kang JH
• Lee TS
• Han JK

Abstract

PURPOSE
Performing laparoscopic surgery for upper gastrointestinal disease has gradually been increasing. The aim of this study is to review the initial experience with laparoscopic surgery for treating upper gastrointestinal diseases.
METHODS
We retrospectively studied a total of 76 patients who underwent laparoscopic surgery for upper gastrointestinal disease from April 2003 to December 2008. The clinical features and surgical outcomes were analyzed.
RESULTS
The types of upper gastrointestinal diseases that were treated by laparoscopic surgery were early gastric cancer (n=45), advanced gastric cancer (n=6), gastric submucosal tumor (n=14), duodenal ulcer stricture (n=5), duodenal ulcer perforation (n=2), superior mesenteric artery syndrome (n=2), gastroesophageal reflux (n=1) and dysphagia due to parkinsonism (n=1). There were 11 operative morbidities (14.5%), including 1 operative mortality (1.3%).
CONCLUSION
Although this study shows the narrow range of indications for performing this laparoscopic procedure and the surgical experience is rather limited, laparoscopic surgery was applied for treating various upper gastrointestinal diseases. Based on this experience, surgeons should make efforts to improve the surgical outcomes.

Keyword

Laparoscopic surgery; Upper gastrointestinal disease; Initial experience

MeSH Terms

Constriction, Pathologic
Deglutition Disorders
Duodenal Ulcer
Gastroesophageal Reflux
Gastrointestinal Diseases
Humans
Laparoscopy
Parkinsonian Disorders
Retrospective Studies
Stomach Neoplasms
Superior Mesenteric Artery Syndrome