{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,30]],"date-time":"2026-10-30T21:49:43Z","timestamp":1793396983840,"version":"4.5.0"},"reference-count":22,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2008,3,14]],"date-time":"2008-03-14T00:00:00Z","timestamp":1205452800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["World j. surg."],"published-print":{"date-parts":[[2008,7]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Laparoscopic procedures have generally been considered to be contraindicated in patients with a history of laparotomy because of a high risk of enteric injury during the procedure. Laparoscopy\u2010assisted gastrectomy (LAG) has been used increasingly in the treatment of early gastric cancer, but its indication for patients with a history of laparotomy remains unclear. The aim of the present study was to estimate whether LAG is contraindicated for the patient with a history of laparotomy (PSURG).<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>From January 2003 to March 2006, 139 patients with early gastric cancer underwent LAG with curative intent in our institute. Fifty were PSURG patients, and the remaining 89 patients underwent LAG without any history of laparotomy (NSURG). Operative and early postoperative outcomes were compared between the groups.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Appendectomy and gynecological surgery were the predominant procedures performed in the PSURG group prior to undergoing LAG, involving 28 patients (56.0%) and 16 patients (32.0%), respectively. Detachment of adhesion above the umbilicus was required in 25\u00a0PSURG patients (50.0%). There was no significant difference in operative and postoperative results between the two groups, although 1\u00a0PSURG patient developed symptoms of bowel injury on the first postoperative day, probably caused during the laparoscopic procedure for dissection of a jejuno\u2010jejunal adhesion.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>There was no difference in outcome following LAG between the PSURG and NSURG groups in the present study. The PSURG patient is not contraindicated for LAG assuming careful attention is given for all operative procedures, including port insertion and dissection of intra\u2010abdominal adhesions.<\/jats:p><\/jats:sec>","DOI":"10.1007\/s00268-008-9542-8","type":"journal-article","created":{"date-parts":[[2008,3,13]],"date-time":"2008-03-13T12:19:45Z","timestamp":1205410785000},"page":"1466-1472","source":"Crossref","is-referenced-by-count":40,"title":["Previous Laparotomy is Not a Contraindication to Laparoscopy\u2010assisted Gastrectomy for Early Gastric Cancer"],"prefix":"10.1002","volume":"32","author":[{"given":"Souya","family":"Nunobe","sequence":"first","affiliation":[{"name":"Department of Surgery Cancer Institute Hospital 10\u20106 Ariake 3\u2013chome 135\u20108550 Koto\u2010ku Tokyo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Naoki","family":"Hiki","sequence":"additional","affiliation":[{"name":"Department of Surgery Cancer Institute Hospital 10\u20106 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