{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,2]],"date-time":"2026-04-02T01:45:46Z","timestamp":1775094346232,"version":"3.50.1"},"reference-count":22,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2015,2,10]],"date-time":"2015-02-10T00:00:00Z","timestamp":1423526400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2015,2,10]],"date-time":"2015-02-10T00:00:00Z","timestamp":1423526400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/www.springer.com\/tdm"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["World j. surg."],"published-print":{"date-parts":[[2015,7]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>This retrospective study was designed to assess the feasibility of laparoscopic total gastrectomy (LTG) in clinical stage I gastric cancer patients, and validate the appropriateness of the widespread adoption of LTG for experienced open surgeons.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Eighty\u2010eight patients with clinical stage I gastric cancer underwent LTG in our hospitals (<jats:italic>n<\/jats:italic> = 55) and affiliated hospitals (<jats:italic>n<\/jats:italic> = 33). Esophagojejunostomy was performed intracoporeally using a circular stapler with an incision in the left upper abdomen. We investigated the patients\u2019 clinicopathologic factor, and evaluated the effect of hospital volume on short\u2010term outcomes.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Fixed insertion of the anvil head was successfully achieved in all patients (lift\u2010up method in 58 patients and transoral method in 28 patients), although 2 patients were converted to open surgery. The approach using a circular stapler through a small incision from the upper left quadrant of the abdomen facilitated a good laparoscopic visual field for the plane of the esophagojejunostomy. Fourteen patients developed Clavien\u2013Dindo classification grade II or more postoperative complications, and the overall operative morbidity rate was 15.9 %. No anastomotic leakage was encountered in this series. No significant difference was observed in clinical outcomes between patients in the high\u2010 and low\u2010volume hospital groups.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Laparoscopic total gastrectomy can be performed safely on clinical stage I gastric cancer patients by surgeons with sufficient experience in open gastrectomy and therefore represents a feasible procedure that is not clinically impacted by hospital volume.<\/jats:p><\/jats:sec>","DOI":"10.1007\/s00268-015-3008-6","type":"journal-article","created":{"date-parts":[[2015,2,9]],"date-time":"2015-02-09T18:35:05Z","timestamp":1423506905000},"page":"1782-1788","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":8,"title":["Evaluation of the Safety and Feasibility of Laparoscopic Total Gastrectomy in Clinical Stage I Gastric Cancer Patients"],"prefix":"10.1002","volume":"39","author":[{"given":"Daisuke","family":"Ichikawa","sequence":"first","affiliation":[{"name":"Division of Digestive Surgery, Department of Surgery Kyoto Prefectural University of Medicine 465 Kajii\u2010cho, Kamigyo\u2010ku 6028566 Kyoto Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shuhei","family":"Komatsu","sequence":"additional","affiliation":[{"name":"Division of Digestive Surgery, Department of Surgery Kyoto Prefectural University of Medicine 465 Kajii\u2010cho, Kamigyo\u2010ku 6028566 Kyoto Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Takeshi","family":"Kubota","sequence":"additional","affiliation":[{"name":"Division of Digestive Surgery, Department of Surgery Kyoto Prefectural University of Medicine 465 Kajii\u2010cho, Kamigyo\u2010ku 6028566 Kyoto Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kazuma","family":"Okamoto","sequence":"additional","affiliation":[{"name":"Division of Digestive Surgery, Department of Surgery Kyoto Prefectural University of Medicine 465 Kajii\u2010cho, Kamigyo\u2010ku 6028566 Kyoto Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hirotaka","family":"Konishi","sequence":"additional","affiliation":[{"name":"Division of Digestive Surgery, Department of Surgery Kyoto Prefectural University of Medicine 465 Kajii\u2010cho, Kamigyo\u2010ku 6028566 Kyoto Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Atsushi","family":"Shiozaki","sequence":"additional","affiliation":[{"name":"Division of Digestive Surgery, Department of Surgery Kyoto Prefectural University of Medicine 465 Kajii\u2010cho, Kamigyo\u2010ku 6028566 Kyoto Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hitoshi","family":"Fujiwara","sequence":"additional","affiliation":[{"name":"Division of Digestive Surgery, Department of Surgery Kyoto Prefectural University of Medicine 465 Kajii\u2010cho, Kamigyo\u2010ku 6028566 Kyoto Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Eigo","family":"Otsuji","sequence":"additional","affiliation":[{"name":"Division of Digestive Surgery, Department of Surgery Kyoto Prefectural University of Medicine 465 Kajii\u2010cho, Kamigyo\u2010ku 6028566 Kyoto Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2015,2,10]]},"reference":[{"key":"e_1_2_7_2_2","doi-asserted-by":"publisher","DOI":"10.1097\/01.sla.0000151892.35922.f2"},{"key":"e_1_2_7_3_2","doi-asserted-by":"publisher","DOI":"10.1097\/01.sla.0000225364.03133.f8"},{"key":"e_1_2_7_4_2","doi-asserted-by":"publisher","DOI":"10.1007\/s10120\u2010010\u20100565\u20100"},{"key":"e_1_2_7_5_2","doi-asserted-by":"publisher","DOI":"10.1007\/s10120\u2010012\u20100157\u20102"},{"key":"e_1_2_7_6_2","doi-asserted-by":"publisher","DOI":"10.3748\/wjg.v19.i32.5365"},{"key":"e_1_2_7_7_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00464\u2010013\u20102796\u20108"},{"key":"e_1_2_7_8_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjsurg.2012.11.011"},{"key":"e_1_2_7_9_2","doi-asserted-by":"crossref","unstructured":"JeongO RyuSY ChoiWYet al. 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