Minimally invasive management of low-grade and benign gastric tumors

Buyske, Jo; McDonald, Marian; Fernández, C. Montesinos; Munson, J. Lawrence; Sanders, Laura E.; Tsao, Jane I.; Birkett, Desmond H.

doi:10.1007/s004649900535

Cited by 32 publications

(17 citation statements)

References 16 publications

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“…An increasing number of case reports and isolated series have demonstrated the feasibility of a minimally invasive approach to tumors previously approached exclusively by an open technique [2,3,11,13,24,28]. Depending on the particular anatomical location of the stromal tumor within the stomach, combining laparoscopic or needlescopic (2-mm) instrumentation with flexible endoscopy can provide an alternative to traditional techniques via laparotomy or a combined thoracoabdominal approach [14].…”

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confidence: 99%

Laparoscopic vs open resection of gastric stromal tumors

et al. 2002

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mentioning

confidence: 99%

Laparoscopic vs open resection of gastric stromal tumors

et al. 2002

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Section: Discussionmentioning

confidence: 99%

“…Therefore, pre-operative knowledge of the tumor's location and transmural extent are important for planning the appropriate laparoscopic approach [2][3][4][5]9,12,13]. For the extraluminal lesions, wedge resection is optimum regardless of the size and location; provided accurate localization and no passage disturbance after resection [2][3][4][5]12]. For posterior intraluminal gastric lesions, intragastric resection is feasible for superficial lesions which do not need a full-thickness gastric wall excision whereas a full-thickness gastric resection is achieved through an anterior gastrotomy [6][7][8][9]13].…”

Section: Discussionmentioning

confidence: 99%

Laparoscopic resection of a huge intraluminal gastric submucosal tumor located in the anterior wall: Eversion method

et al. 2005

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Although numerous operative approaches have been utilized for gastric submucosal tumors, laparoscopic wedge resection has been regarded as the treatment of choice in recent years. As widespread use of diagnostic endoscopy has exposed a number of gastric submucosal tumors, the laparoscopic wedge resections are being performed with increased frequency. Many reports have been published which describe the technique of laparoscopic wedge resection of gastric submucosal tumors, and by far most of them were about the techniques for masses located at the posterior wall or esophagogastric junction. Generally, wedge resection for tumors on the anterior wall is regarded as an easy procedure especially when the mass is extraluminal mass. However, when the tumor is huge and intraluminal, it is very difficult to resect without compromising the gastric lumen as wedge resection of a huge intraluminal mass in situ inevitably includes a wide portion of normal gastric wall. In this article, we describe a successfully performed laparoscopic wedge resection of a huge intraluminal gastric submucosal tumor while preserving the volume of residual stomach without compromising the gastric lumen using the Eversion method through gastrotomy made with laparoscopic ultrasound guidance.

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“…Die sogenannte Keilresektion (wedge resection) stellt die einfachste Form der laparoskopischen Magenresektion dar. Sie ist in ihrer Indikation stark eingegrenzt und nur bei T1-Tumoren mit niedrigem Malignita Ètsgrad zu vertreten [16,17], wird aber auch als erster Behandlungsschritt beim Leiomyosarkom empfohlen [18,19]. Unter endoskopischer Kontrolle wird der Tumor hierbei mit einem gesunden Magenwandsaum exzidiert.…”

Section: Introductionunclassified

Aktueller Stand der laparoskopischen Chirurgie des Magenkarzinoms

Bärlehner¹

1999

Visc Med

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The laparoscopic gastric resection for carcinoma is still a rare procedure worldwide. By the `wedge resection' in low-malignant T1 tumors, the laparoscopic technique could get a growing importance also in malignant tumors. Laparoscopically managed partial or total gastrectomy are comparable to open procedure concerning the oncosurgical precision and is feasible despite a high technical and temporal expense. In 10 own patients, a subtotal or total laparoscopic gastrectomy including D2-lymphadenectomy was performed. In 8 cases we found an adenocarcinoma, in 2 cases a highly malignant MALT (mucosa-associated lymphoid tissue) tumor. The mean operating time was 295 min. As a complication we saw one duodenal leakage which was managed successfully on the 1st postoperative day. No patient died. All courses were imposingly uncomplicated with rapid mobility, early gut function, low pain level, and a good cosmetic result. In all carcinoma cases, we carried out a R0-resection with a mean lymph node amount of 34. Tumor cell dissemination and trokar site metastases were not observed.

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Minimally invasive management of low-grade and benign gastric tumors

Abstract: Minimally invasive management of benign and low-grade gastric tumors can be performed safely with excellent short- and long-term results.

Cited by 32 publications

References 16 publications

Laparoscopic vs open resection of gastric stromal tumors

Laparoscopic vs open resection of gastric stromal tumors

Laparoscopic resection of a huge intraluminal gastric submucosal tumor located in the anterior wall: Eversion method

Aktueller Stand der laparoskopischen Chirurgie des Magenkarzinoms

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