Laparoscopic resection of solitary gastric schwannoma.
We report a case of successful laparoscopic resection of a solitary schwannoma of the gastric fundus performed on emergency. The patient was a 52-year-old man who presented with an upper gastrointestinal hemorrhage. At admission, the endoscopy and hydro-CT scan showed a submucosal tumor, 2.5 cm in maximum diameter, with an area of central ulceration arising from the anterior wall of the gastric fundus. A wedge laparoscopic resection of the gastric wall was performed under endoscopic guidance. The defect in the anterior wall was repaired in part by linear stapler and in part using a continuous suture. The postoperative recovery was uneventful and the patient was discharged on the 4th postoperative day. Laparoscopic approach represents a safe and efficient approach for the treatment of benign tumors of the stomach, also on emergency basis.
Silecchia
G
G
II Clinica Chirurgica, University La Sapienza, Rome, Italy.
Materia
A
A
Fantini
A
A
Spaziani
E
E
Picconi
T
T
Trentino
P
P
Faticanti Scucchi
L
L
Basso
N
N
D004638:Emergency Treatment; D005748:Gastric Fundus; D006471:Gastrointestinal Hemorrhage / Q000209:etiology; D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D008297:Male; D008875:Middle Aged; D009442:Neurilemmoma / Q000150:complications / Q000601:surgery*; D013274:Stomach Neoplasms / Q000150:complications / Q000601:surgery*