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J Laparoendosc Adv Surg Tech A. 2009 Dec;19(6):765-70. doi: 10.1089/lap.2009.0067.

Combined endolaparoscopic intragastric excision for gastric neoplasms.

Author information

  • 1Department of Surgery, Pamela Youde Nethersole Eastern Hospital, Hong Kong, Hong Kong. dctwong@gmail.com

Abstract

BACKGROUND:

The aim of this study was to describe our technique of combined endolaparoscopic approach to the management of intraluminal gastric neoplasms and to review the clinical outcome.

METHODS:

Between February 2006 and January 2008, a total of 12 patients with gastric neoplasm < or =4 cm with a mainly intraluminal component received the combined endolaparoscopic intragastric excision and were prospectively analyzed. All lesions were localized endoscopically and then treated by using a combined endoscopic submucosal dissection and laparoscopic intragastric technique.

RESULTS:

Eight of 12 lesions were gastrointestinal stromal tumours. The remaining lesions were adenomatous polyp with focal intramucosal adenocarcinoma, leiomyoma, and pancreatic heterotopia. All except 1 case was successfully treated with this technique (91.6%). There were no mortalities, and there was only 1 case of reactionary hemorrhage from the port site requiring a reoperation. The median operating time was 120 minutes, with a median blood loss of 35 mL. Length of hospital stay ranged from 3 to 12 days. There were no recurrences during the follow-up period.

CONCLUSIONS:

This combined endolaparoscopic intragastric excision technique is a truly minimally invasive alternative for selected gastric neoplasm. It is safe and feasible with a satisfactory short-term outcome.

PMID:
19645605
[PubMed - indexed for MEDLINE]
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