title: Endoscopically assisted laparoscopic local resection of gastric tumor.
abstract: BACKGROUND
  Minimally invasive procedures have been applied in treatment of gastric submucosal tumors. Currently, combined laparoscopic - endoscopic rendezvous resection (CLERR) emerges as a new technique which further reduces operative invasiveness.
  
  
  METHODS
  A-57-year-old female patient presented with epigastric pain. She was submitted to gastroscopy, which revealed a tumor located at the angle of His. Biopsy specimens demonstrated a leiomyoma. The patient underwent endoscopically assisted laparoscopic resection of the tumor. The operative time was 45 minutes. Diagnosis of leiomyoma was confirmed by the final histopathological examination. The patient had an uneventful postoperative recovery and was discharged on the 2nd postoperative day.
  
  
  CONCLUSIONS
  Combined laparoscopic and endoscopic rendezvous resection appears as a promising alternative minimally invasive technique. It offers easy recognition of the tumor, regardless of location, safe dissection, and full thickness resection with adequate margins as well as less operative time.
authors.affiliation: Department of Surgery, Interbalkan European Medical Center, 10 Asklipiou street, Thessaloniki, Pylaia 57001, Greece. dr.ckosmidis@gmail.com.
authors.forename: Christoforos
authors.initials: C
authors.lastname: Kosmidis
authors.forename: Christoforos
authors.initials: C
authors.lastname: Efthimiadis
authors.forename: Georgios
authors.initials: G
authors.lastname: Anthimidis
authors.forename: Kalliopi
authors.initials: K
authors.lastname: Vasileiadou
authors.forename: Thomas
authors.initials: T
authors.lastname: Stavrakis
authors.forename: Georgia
authors.initials: G
authors.lastname: Ioannidou
authors.forename: Georgios
authors.initials: G
authors.lastname: Basdanis
mesh_terms: D004724:Endoscopy / Q000379:methods*; D005260:Female; D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D008875:Middle Aged; D013274:Stomach Neoplasms / Q000601:surgery*