Laparoscopic intragastric surgery for gastric leiomyoma.
Laparoscopic intragastric surgery (LIGS) was performed on a 63-year-old man with a gastric leiomyoma adjacent to the cardia. Because the tumor was about 5 cm in maximum diameter and showed ulceration, the possibility that the tumor was a leiomyosarcoma could not be ruled out preoperatively. Conventionally, major surgery has been performed on patients with a tumor located near the cardia, although it was not always malignant. Enucleation by LIGS enabled us to avoid excessive invasiveness and provided a favorable result. LIGS may be an appropriate new, minimally-invasive operation for gastric myogenic tumors and should be considered for such cases.
Taniguchi
E
E
First Department of Surgery, Osaka University Medical School, 2-2 Yamada-Oka, Suita, 565, Japan.
Kamiike
W
W
Yamanishi
H
H
Ito
T
T
Nezu
R
R
Nishida
T
T
Momiyama
T
T
Ohashi
S
S
Okada
T
T
Matsuda
H
H
D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D007889:Leiomyoma / Q000473:pathology / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D019060:Minimally Invasive Surgical Procedures; D013274:Stomach Neoplasms / Q000473:pathology / Q000601:surgery*