Application of laparoscopic techniques for resection of individual gastric submucosal tumors.
Large gastric submucosal tumors should be excised to prevent ischemic mucosal ulceration of the overlying surface and central necrosis of the neoplasm, which may in turn lead to massive hemorrhage. Large tumors near the esophagocardiac junction or on the posterior wall are usually resected by an open procedure. We describe 2 cases of upper gastrointestinal tract bleeding owing to huge submucosal tumors in the posterior gastric high body treated by laparoscopic resection of the gastric tumors. These 2 patients recovered smoothly without major or minor complications. We emphasize that design of specific strategies for individual tumors is essential for the successful laparoscopic resection of tumors adjacent to the esophagocardiac junction and large tumors on the posterior wall.
Division of General Surgery, Department of Surgery, Taipei Medical University Hospital, Taipei, Taiwan.
Chao-Jen
CJ
Li
Ming-Te
MT
Huang
Chin-Shyang
CS
Chen
Ka-Wai
KW
Tam
Chiah-Yang
CY
Chai
Chih-Hsiung
CH
Wu
D000328:Adult; D000368:Aged; D001706:Biopsy; D016099:Endoscopy, Gastrointestinal; D019160:Endosonography; D004867:Equipment Design; D005260:Female; D005500:Follow-Up Studies; D005743:Gastrectomy / Q000295:instrumentation*; D046152:Gastrointestinal Stromal Tumors / Q000175:diagnosis / Q000601:surgery*; D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D008297:Male; D009442:Neurilemmoma / Q000175:diagnosis / Q000601:surgery*; D013274:Stomach Neoplasms / Q000175:diagnosis / Q000601:surgery*; D014057:Tomography, X-Ray Computed