title: Combined endoscopic and laparoscopic approach to a gastroesophageal tumor.
abstract: OBJECTIVE
  Smooth muscle tumors of the stomach, especially when benign, are a common clinical entity and can represent a therapeutic challenge. Classically the removal of such a tumor requires open laparotomy. We sought to perform this surgery utilizing minimally invasive technology.
  
  
  METHODS
  We describe a minimally invasive technique combining laparoscopy with endoscopy to remove a sub-mucosal leiomyoma at the gastroesophageal junction.
  
  
  RESULTS
  A 3.3-cm smooth muscle tumor of the gastroesophageal junction was removed completely and safely with the described procedure and thus saved the patient from requiring a laparotomy.
  
  
  CONCLUSIONS
  Minimally invasive techniques can be used in combination to tackle difficult problems in general surgery leading to shorter hospital stays and improved patient satisfaction.
authors: 4160 John R, Suite 615, Harper Professional Building, Wayne State University School of Medicine, Detroit, Michigan 48201, USA.
authors: Christopher P
authors: CP
authors: Gayer
authors: David A
authors: DA
authors: Edelman
authors: Brendon
authors: B
authors: Curtis
authors: Scott
authors: S
authors: Laker
authors: John
authors: J
authors: Webber
mesh_terms: D013505:Digestive System Surgical Procedures / Q000379:methods*; D004724:Endoscopy / Q000379:methods*; D004938:Esophageal Neoplasms / Q000601:surgery*; D004943:Esophagogastric Junction; D005260:Female; D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D008875:Middle Aged; D013274:Stomach Neoplasms / Q000601:surgery*