BACKGROUND: The present study was designed to evaluate the feasibility and impact of the "intragastric" approach to laparoscopic wedge resection as a surgical option for the treatment of suspected small sized gastric submucosal tumors (SMTs) located at the level of Z-line. METHODS: We reviewed six patients who underwent laparoscopic intragastric resection of a suspected gastric SMT. In all cases, tumor mass was located just below the Z-line. The patients' clinicopathologic characteristics and surgical outcomes were prospectively recorded and reviewed. RESULTS: All six patients were underwent successfully laparoscopic wedge resection by the intragastric approach using a balloon-type trocar. No case was required open conversion. The mean operation time was 128 min, and the mean hospital stay was 4 days. Five cases were proven to have leiomyoma, and one case was found to have gastrointestinal stromal tumor with low risk. The mean tumor size was 2.7 cm. CONCLUSION: Laparoscopic resection through the "intragastric" approach is a safe and feasible option for gastric SMTs located at the level of Z-line.
BACKGROUND: The present study was designed to evaluate the feasibility and impact of the "intragastric" approach to laparoscopic wedge resection as a surgical option for the treatment of suspected small sized gastric submucosal tumors (SMTs) located at the level of Z-line. METHODS: We reviewed six patients who underwent laparoscopic intragastric resection of a suspected gastric SMT. In all cases, tumor mass was located just below the Z-line. The patients' clinicopathologic characteristics and surgical outcomes were prospectively recorded and reviewed. RESULTS: All six patients were underwent successfully laparoscopic wedge resection by the intragastric approach using a balloon-type trocar. No case was required open conversion. The mean operation time was 128 min, and the mean hospital stay was 4 days. Five cases were proven to have leiomyoma, and one case was found to have gastrointestinal stromal tumor with low risk. The mean tumor size was 2.7 cm. CONCLUSION: Laparoscopic resection through the "intragastric" approach is a safe and feasible option for gastric SMTs located at the level of Z-line.
Authors: Jeffrey S Mino; Alfredo D Guerron; Rosebel Monteiro; Kevin El-Hayek; Jeffrey L Ponsky; Deepa T Patil; R Matthew Walsh Journal: Surg Endosc Date: 2015-08-15 Impact factor: 4.584
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