Laparoendoscopic single-site gastrectomy for a gastric GIST using double-bended instruments.
BACKGROUND
Laproscopic single-site surgery is the natural evolution of minimally invasive surgery.


METHODS
A 70-year-old male was planned for a resection of a gastric GIST (gastrointestinal stromal tumor). A Triport trocar (Olympus, Aartselaar, Belgium) was placed through a 2-cm periumbilical incision. Besides the placement of a Nathanson liver retractor in the subxiphoidal position, no additional trocars had to be added. The partial gastrectomy was carried out by using clinical prototypes of double-bended intruments and of a "goose neck" videolaparoscope, all specially designed for single-port surgery.


RESULTS
Total operative time was 140 minutes, and estimated blood loss was 10 mL. No intra- or postoperative complications occurred. Hospital stay was 4 days. Final pathology revealed the complete resection of a GIST tumor of gastric origin.


CONCLUSIONS
We have demonstrated the technical feasibility and described the detailed surgical technique of laparoendoscopic single-site surgery gastric wedge resection.
Henckens
Tom
T
Department of Gastrointestinal Surgery, University Hospital Ghent, Ghent, Belgium. tomhenckens@hotmail.com
Van de Putte
Dirk
D
Van Renterghem
Katrien
K
Ceelen
Wim
W
Pattyn
Piet
P
Van Nieuwenhove
Yves
Y
D000368:Aged; D005743:Gastrectomy / Q000295:instrumentation* / Q000379:methods; D046152:Gastrointestinal Stromal Tumors / Q000601:surgery*; D005773:Gastroscopy; D006801:Humans; D010535:Laparoscopy; D008297:Male; D013274:Stomach Neoplasms / Q000601:surgery*; D016896:Treatment Outcome