Cooperative laparoscopic endoscopic and hybrid laparoscopic surgery for upper XXXX : Current status.

@entity1 @entity5 @entity190 @entity1820 @entity674 @entity356
AIM: To investigate the cooperative laparoscopic and endoscopic techniques used for the resection of upper @entity1820 . METHODS: A systematic research of the literature was performed in PubMed for English and French language articles about laparoscopic and endoscopic cooperative, combined, hybrid and rendezvous techniques. Only original studies using these techniques for the resection of early gastric @entity5 and @entity674 of the stomach and the duodenum were included. By excluding case series of less than 10 @entity1 , 25 studies were identified. The study design, number of cases, @entity5 pathology size and location, the operative technique name, the endoscopy team and surgical team role, operative time, type of closure of visceral wall defect, @entity190 , complications and length of hospital stay of these studies were evaluated. Additionally all cooperative techniques found were classified and are presented in a systematic approach. RESULTS: The studies identified were case series and retrospective cohort studies. A total of 706 @entity1 were operated on with a cooperative technique. The @entity5 resected were only @entity674 ( @entity674 ) in 4 studies, @entity674 and various benign @entity5 in 22 studies, early @entity356 (pT1a and pT1b) in 6 studies and early @entity5 in 1 study. There was important heterogeneity between the studies. The operative techniques identified were: laparoscopic assisted endoscopic resection, endoscopic assisted wedge resection, endoscopic assisted transgastric and intragastric surgery, laparoscopic endoscopic cooperative surgery (LECS), laparoscopic assisted endoscopic full thickness resection (LAEFR), clean non exposure technique and non-exposed endoscopic wall-inversion surgery (NEWS). Each technique is illustrated with the roles of the endoscopic and laparoscopic teams; the indications, characteristics and short term results are described. CONCLUSION: Along with the traditional cooperative techniques, new procedures like LECS, LAEFR and NEWS hold great promise for the future of minimally invasive oncologic procedures.
