BACKGROUND: Endoscopic and laparoscopic local resection of gastric tumors has increasingly been performed in recent years. This article describes the technical considerations and early results of laparoscopic-endoscopic rendezvous resection of gastric lesions. PATIENTS AND METHODS: Rendezvous resection was performed in 26 patients with submucosal gastric tumors (n = 22) and early gastric cancer (n = 4). Laparoscopic wedge resection (LWR) was performed in 16 patients with anterior wall tumors and laparoscopic intragastric resection (LIR) in 7 patients with posterior wall tumors. Conversion to open surgery was carried out in 3 cases. RESULTS: Operation times were 53 min (range 35-115) for LWR and 83 min (range 56-130) for LIR, respectively. In submucosal lesions the mean tumor size was 36 mm (range 16-47) and in early gastric cancer 17.3 mm (range 16-20). Rendezvous resection was performed with curative intent and clear resection margins in all patients without lymphatic or vessel permeation. Postoperative complications occurred in 2 patients. After a mean follow-up of 22.8 months (range 2-71), no local recurrence or metastatic disease and no tumor-related death were observed. CONCLUSIONS: When selected properly, the laparoscopic-endoscopic approach is considered to be curative and safe for resection of localized gastric tumors. Copyright 2005 S. Karger AG, Basel.
BACKGROUND: Endoscopic and laparoscopic local resection of gastric tumors has increasingly been performed in recent years. This article describes the technical considerations and early results of laparoscopic-endoscopic rendezvous resection of gastric lesions. PATIENTS AND METHODS: Rendezvous resection was performed in 26 patients with submucosal gastric tumors (n = 22) and early gastric cancer (n = 4). Laparoscopic wedge resection (LWR) was performed in 16 patients with anterior wall tumors and laparoscopic intragastric resection (LIR) in 7 patients with posterior wall tumors. Conversion to open surgery was carried out in 3 cases. RESULTS: Operation times were 53 min (range 35-115) for LWR and 83 min (range 56-130) for LIR, respectively. In submucosal lesions the mean tumor size was 36 mm (range 16-47) and in early gastric cancer 17.3 mm (range 16-20). Rendezvous resection was performed with curative intent and clear resection margins in all patients without lymphatic or vessel permeation. Postoperative complications occurred in 2 patients. After a mean follow-up of 22.8 months (range 2-71), no local recurrence or metastatic disease and no tumor-related death were observed. CONCLUSIONS: When selected properly, the laparoscopic-endoscopic approach is considered to be curative and safe for resection of localized gastric tumors. Copyright 2005 S. Karger AG, Basel.
Authors: A I Balde; Tao Chen; Yanfeng Hu; J D Redondo N; Hao Liu; Wei Gong; Jiang Yu; Li Zhen; Guoxin Li Journal: Surg Endosc Date: 2016-08-04 Impact factor: 4.584
Authors: M Amendolara; S Ramuscello; A Broggiato; A Andreotti; G Stevanato; M Bonfiglio; M Bernardi; D Parini; F Galeotti; M Rizzo Journal: G Chir Date: 2014 May-Jun
Authors: Sebastian H Lamm; Daniel C Steinemann; Georg R Linke; Dietmar Eucker; Thomas Simon; Andreas Zerz; Reinhard Stoll Journal: Surg Endosc Date: 2014-12-25 Impact factor: 4.584