title: Laparoendoscopic single-site gastrectomy for a gastric GIST using double-bended instruments.
abstract: 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.
authors.affiliation: Department of Gastrointestinal Surgery, University Hospital Ghent, Ghent, Belgium. tomhenckens@hotmail.com
authors.forename: Tom
authors.initials: T
authors.lastname: Henckens
authors.forename: Dirk
authors.initials: D
authors.lastname: Van de Putte
authors.forename: Katrien
authors.initials: K
authors.lastname: Van Renterghem
authors.forename: Wim
authors.initials: W
authors.lastname: Ceelen
authors.forename: Piet
authors.initials: P
authors.lastname: Pattyn
authors.forename: Yves
authors.initials: Y
authors.lastname: Van Nieuwenhove
mesh_terms: 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