title: [Laparoscopic and endoscopic cooperative surgery for gastric tumor--a case report with review of literature].
abstract: Thanks to recent advances of therapeutic devices, the less invasive surgical explorations such as endoscopic submucosal resection( ESD) and laparoscopic surgery have widely gained an acceptance and become more common. During laparoscopic partial gastrectomy for submucosal tumor such as gastrointestinal stromal tumor (GIST) of the stomach, it is important to avoid an excessive surgical resection of the gastric wall, which causes a deformity of the stomach and has a potential risk to decrease oral intake. We report here a successfully treated case without any deformity of the stomach and complications using laparoscopic and endoscopic cooperative surgery (LECS) for intraluminal type of GIST. LECS is a recently developed procedure and it enables us to resect a tumor with minimum surgical margin. This procedure could be applicable for clinically benign tumor, and it is effective especially for tumors located near esophagogastric junction or pyloric ring of the stomach.
authors.affiliation: Division of Digestive Surgery, Dept. of Surgery, Kyoto Prefectural University of Medicine.
authors.forename: Hiroaki
authors.initials: H
authors.lastname: Nagata
authors.forename: Daisuke
authors.initials: D
authors.lastname: Ichikawa
authors.forename: Shuhei
authors.initials: S
authors.lastname: Komatsu
authors.forename: Kazuma
authors.initials: K
authors.lastname: Okamoto
authors.forename: Hiroki
authors.initials: H
authors.lastname: Takeshita
authors.forename: Toshiyuki
authors.initials: T
authors.lastname: Kosuga
authors.forename: Daisuke
authors.initials: D
authors.lastname: Iitaka
authors.forename: Ryo
authors.initials: R
authors.lastname: Morimura
authors.forename: Atsushi
authors.initials: A
authors.lastname: Shiozaki
authors.forename: Hitoshi
authors.initials: H
authors.lastname: Fujiwara
authors.forename: Osamu
authors.initials: O
authors.lastname: Dohi
authors.forename: Nobuaki
authors.initials: N
authors.lastname: Yagi
authors.forename: Eigo
authors.initials: E
authors.lastname: Otsuji
mesh_terms: D004724:Endoscopy; D005260:Female; D005743:Gastrectomy / Q000379:methods*; D046152:Gastrointestinal Stromal Tumors / Q000601:surgery*; D006801:Humans; D010535:Laparoscopy; D008875:Middle Aged; D013274:Stomach Neoplasms / Q000601:surgery*