Author(s): Sahm M, Pross M, Lippert H
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Abstract INTRODUCTION: We are presenting our experiences with combined laparoscopic and endoscopic approaches applied to the minimally invasive intragastric resection of the gastric tumors. PATIENTS AND METHOD: We performed the above-mentioned combined intragastric resection in 7 patients. The intragastric resection is only used with posterior gastric wall tumors and tumors located near the cardia and the pylorus. For this approach, only 1 trocar is placed into the stomach to intragastrically introduce the endostapler. We used 2 trocars (5 mm) into the abdominal cavity for laparoscopy. RESULTS: We have performed the combined laparoscopic and endoscopic intragastric resection in 7 patients. The tumor size was 38 ± 7 mm (28-48 mm). The histology revealed 6 gastrointestinal stromal tumors and 1 leiomyoma. All 7 patients began eating and drinking on the second postoperative day. None of the patients showed any intraoperative or postoperative complications. The median postoperative hospital stay was 6.1 days (4-7 d). CONCLUSIONS: The combined intraluminal resection using 1 intragastric trocar of potential benign posterior gastric wall tumors, of tumors near the cardia and the pylorus is a safe surgical procedure with low invasivity and morbidity.
This article was published in Surg Laparosc Endosc Percutan Tech
and referenced in Journal of Gastrointestinal & Digestive System