Laparoscopic–endoscopic rendezvous resection of gastric tumors

Ludwig, Kaja; Wilhelm, L.; Scharlau, U.; Amtsberg, G; Bernhardt, J.

doi:10.1007/s00464-001-9224-1

Cited by 69 publications

(67 citation statements)

References 10 publications

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“…First-level diagnostic procedures are ultrasound, gastrointestinal x-ray and endoscopy (6,12). Endoscopic ultrasound (6,14,15), CT and MRI (2,6,16) are important diagnostic tools in GISTs that extend in the wall of gastrointestinal tract toward the serosal surface.…”

Section: Discussionmentioning

confidence: 99%

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Laparoscopic endoscopic rendez-vous resection of iuxta-cardial gastric GIST

Vecchio¹

2013

G Chir

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Section: Discussionmentioning

confidence: 99%

“…In the iuxta-cardial location, as mentioned above for the endoscopic removal, the laparoscopic extra-gastric technique is however difficult to perform (10,12), with an increased risk of post-operative leaking.…”

Section: © C I C E D I Z I O N I I N T E R N a Z I O N A L Imentioning

confidence: 99%

Laparoscopic endoscopic rendez-vous resection of iuxta-cardial gastric GIST

Vecchio¹

2013

G Chir

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“…El abordaje intragástrico encuentra su lugar en el caso de los GIST Tipo III, localizados en la curvatura menor o en la región de la unión esófago-gástrica (Tabla 1). Existen múlti-ples publicaciones constituidas por casos clínicos o pequeñas series de casos que han demostrado la seguridad y validez de este abordaje o de sus variaciones [10][11][12][13][14][15][16][17][18][19][20] . Recientemente, este procedimiento también se ha descrito mediante el uso de un solo puerto con la técnica Single Incision Laparoscopic Surgery (SILS) con buenos resultados [21][22][23][24] .…”

Section: Discussionunclassified

Resección Mixta Laparoscópica Y Endoscópica De Un Tumor Del Estroma Gastrointestinal De La Unión Gastroesofágica

Haito

et al. 2014

Rev Chil Cir

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resection of a gastrointestinal stromal tumor of the gastroesophagic junction using a mixed laparoscopic-endoscopic technique introduction:The ideal treatment for non-disseminated gastrointestinal stromal tumors (GIST) of the stomach is the local surgical resection. The laparoscopic approach has been validated showing its safety without compromising the oncological principles. The localization on the gastroesophagic junction is a specific situation on gastric GIST, mainly for submucosal tumors arising over the lesser curvature. Wedge resection of these tumors is technically demanding and has been associated to surgical complications and late development of stenosis and gastroesophageal reflux. For these reasons a mixed technique combining endoscopic and laparoscopic approaches has been developed. Herein we report a patient with an endophytic gastric GIST located on the gastroesophageal junction operated on with this technique. clinical case: A female 37-years old patient with a submucosal tumor of the gastroesophagic junction was submitted to laparoscopic surgery. During the surgical act the difficulty to continue with the laparoscopic resection became evident and the intragastric resection assisted with endoscopy was undertaken. The technique and the surgical outcomes are described. conclusion. The intragastric approach for submucosal tumors located over the gastroesophagic junction is safe and relatively simple. This technique is widely described in the medical literature and its indications validated.

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“…In this technique, endoscopy is used simultaneously during laparoscopy to localize the tumor and ensure negative margins. In a trial of 18 patients, this technique was proven successful with a single complication (perforation) in one case [19]. A new technique described by Hiki et al utilizes endoscopic submucosal dissection (ESD) of three-fourths of the circumference around the submucosal tumor followed by seromuscular dissection of the exact threefourths of the circumference by laparoscopy then the tumor is removed by a laparoscopic stapling device [20].…”

Section: Endoscopy Assisted Laparoscopic Wedge Resectionmentioning

confidence: 99%