Laparoscopic wedge resection of the gastric wall for gastric benign tumour. The collaboration of the laparoscopic surgeon and the endoscopist.
BACKGROUND
By the introduction of the laparoscopy for the management of gastric pathology many techniques are applied by now. In these techniques the collaboration of the endoscopist and the laparoscopic surgeon is mandatory.


OBJECTIVE
To emphasise the necessity of the collaboration of the endoscopist and the laparoscopic surgeon for the management of the gastric pathology using the double lifting and wedge resection technique.


METHODS
A case of a female with 2 x 2.5 cm submucosal tumour is presented. The tumour was located in the antrum. After the onset of the general anaesthesia the gastroscope was introduced to locate the position of the tumour, the free edges of the tumour were elevated by a double lifting method and the tumour was resected by a laparoscopic linear stapler. The process of the proper resection was all through observed and directed by the view of the gastroscope.


CONCLUSIONS
Correct wedge resection of the gastric wall can be safely performed, if the correct gastroscopic control is present. The collaboration of the endoscopist and the laparoscopic surgeon seems to be mandatory, thus avoiding the hazards arising from the use of tattooing.
Gamal
E M
EM
Department of Surgery, Haynal Imre University for Health Sciences, Budapest, Hungary.
Altorjay
A
A
Szántó
I
I
Garcia
J
J
Kiss
J
J
D005260:Female; D005773:Gastroscopy / Q000379:methods; D006801:Humans; D010535:Laparoscopy / Q000379:methods; D008875:Middle Aged; D011706:Pyloric Antrum / Q000000981:diagnostic imaging / Q000601:surgery; D013270:Stomach / Q000601:surgery*; D013274:Stomach Neoplasms / Q000000981:diagnostic imaging / Q000601:surgery*; D013528:Surgical Staplers; D013997:Time Factors; D014463:Ultrasonography