Journal of Gastric Cancer

The Korean Gastric Cancer Association (대한위암학회)
권호 표지
DOI QR코드

DOI QR Code

The Single Incision Laparoscopic Intragastric Wedge Resection of Gastric Submucosal Tumor

  • Na, Jin-Uk (Department of Surgery, Chungnam National University School of Medicine) ;
  • Lee, Sang-Il (Department of Surgery, Chungnam National University School of Medicine) ;
  • Noh, Seung-Moo (Department of Surgery, Chungnam National University School of Medicine)
  • Received : 2011.08.27
  • Accepted : 2011.10.25
  • Published : 2011.12.30
Download PDF
⟨ Previous Next ⟩

Abstract

Purpose: Laparoscopic wedge resection of gastric submucosal tumor may be difficult in case of the endophytic mass or the mass located unreachable area such as cardia, and intragastric approach can be useful. We would present the experiences of the intragastric wedge resection. Materials and Methods: There were 7 patients diagnosed as gastric submucosal tumor and underwent the intragastric wedge resection at Surgery, Chungnam National University Hospital. We reviewed medical record. Results: There were 3 male and 4 female. Mean age was 65 years-old (57~73). Mean body mass index was 26.28 kg/$m^2$ (21.28~35.30). Location of lesions was 4 cardia, 2 fundus and 1 midbody, respectively. Mean operation time was 83.6 minutes (70~105). All patients were healed without any complication. Mean postoperative hospital stay was 5.4 days (4~6). Mean size was 2.7 cm (2.3~3.8). Pathologic finding was 5 gastrointestinal stromal tumor and 2 leiomyoma. Conclusions: The single incision intragastric wedge resection of gastric submucosal tumor is feasible and acceptable, especially in mass of gastric upper part.

Keywords

References

  1. Kwon JG, Kim EY, Kim YS, Chun JW, Chung JT, You SS, et al. Accuracy of endoscopic ultrasonographic impression compared with pathologic diagnosis in gastrointestinal submucosal tumors. Korean J Gastroenterol 2005;45:88-96.
  2. Wiech T, Walch A, Werner M. Histopathological classification of nonneoplastic and neoplastic gastrointestinal submucosal lesions. Endoscopy 2005;37:630-634. https://doi.org/10.1055/s-2005-870127
  3. Casali PG, Jost L, Reichardt P, Schlemmer M, Blay JY; ESMO Guidelines Working Group. Gastrointestinal stromal tumours: ESMO clinical recommendations for diagnosis, treatment and follow-up. Ann Oncol 2009;20 Suppl 4:64-67.
  4. Ryu KJ, Jung SR, Choi JS, Jang YJ, Kim JH, Park SS, et al. Laparoscopic resection of small gastric submucosal tumors. Surg Endosc 2011;25:271-277. https://doi.org/10.1007/s00464-010-1173-0
  5. Blackstein ME, Blay JY, Corless C, Driman DK, Riddell R, Soulieres D, et al; Canadian Advisory Committee on GIST. Gastrointestinal stromal tumours: consensus statement on diagnosis and treatment. Can J Gastroenterol 2006;20:157-163. https://doi.org/10.1155/2006/434761
  6. Sasaki A, Koeda K, Obuchi T, Nakajima J, Nishizuka S, Terashima M, et al. Tailored laparoscopic resection for suspected gastric gastrointestinal stromal tumors. Surgery 2010;147:516-520. https://doi.org/10.1016/j.surg.2009.10.035
  7. Matthews BD, Walsh RM, Kercher KW, Sing RF, Pratt BL, Answini GA, et al. Laparoscopic vs open resection of gastric stromal tumors. Surg Endosc 2002;16:803-807. https://doi.org/10.1007/s00464-001-8319-z
  8. Novitsky YW, Kercher KW, Sing RF, Heniford BT. Long-term outcomes of laparoscopic resection of gastric gastrointestinal stromal tumors. Ann Surg 2006;243:738-745. https://doi.org/10.1097/01.sla.0000219739.11758.27
  9. Sexton JA, Pierce RA, Halpin VJ, Eagon JC, Hawkins WG, Linehan DC, et al. Laparoscopic gastric resection for gastrointestinal stromal tumors. Surg Endosc 2008;22:2583-2587. https://doi.org/10.1007/s00464-008-9807-1
  10. Lai IR, Lee WJ, Yu SC. Minimally invasive surgery for gastric stromal cell tumors: intermediate follow-up results. J Gastrointest Surg 2006;10:563-566. https://doi.org/10.1016/j.gassur.2005.08.028
  11. Tagaya N, Mikami H, Kogure H, Kubota K, Hosoya Y, Nagai H. Laparoscopic intragastric stapled resection of gastric submucosal tumors located near the esophagogastric junction. Surg Endosc 2002;16:177-179. https://doi.org/10.1007/s004640080158
  12. Li VK, Hung WK, Chung CK, Ying MW, Lam BY, Kan DM, et al. Laparoscopic intragastric approach for stromal tumours located at the posterior gastric wall. Asian J Surg 2008;31:6-10. https://doi.org/10.1016/S1015-9584(08)60047-0
  13. Uchikoshi F, Ito T, Nishida T, Kitagawa T, Endo S, Matsuda H. Laparoscopic intragastric resection of gastric stromal tumor located at the esophago-cardiac junction. Surg Laparosc Endosc Percutan Tech 2004;14:1-4.
  14. Sekimoto M, Tamura S, Hasuike Y, Yano M, Murata A, Inoue M, et al. A new technique for laparoscopic resection of a submucosal tumor on the posterior wall of the gastric fundus. Surg Endosc 1999;13:71-74. https://doi.org/10.1007/s004649900902
  15. Shim JH, Lee HH, Yoo HM, Jeon HM, Park CH, Kim JG, et al. Intragastric approach for submucosal tumors located near the Z-line: a hybrid laparoscopic and endoscopic technique. J Surg Oncol 2011;104:312-315. https://doi.org/10.1002/jso.21934

Cited by

  1. Feasibility and Safety of Single-Incision Laparoscopic Surgery in Gastric Benign and Malignant Diseases vol.2014, pp.None, 2011, https://doi.org/10.1155/2014/782035
  2. Minimally invasive surgery for submucosal (subepithelial) tumors of the stomach vol.20, pp.36, 2014, https://doi.org/10.3748/wjg.v20.i36.13035
  3. Cooperative laparoscopic endoscopic and hybrid laparoscopic surgery for upper gastrointestinal tumors: Current status vol.21, pp.43, 2015, https://doi.org/10.3748/wjg.v21.i43.12482
  4. Oncologic Safety of Laparoscopic Wedge Resection with Gastrotomy for Gastric Gastrointestinal Stromal Tumor: Comparison with Conventional Laparoscopic Wedge Resection vol.15, pp.4, 2011, https://doi.org/10.5230/jgc.2015.15.4.231
  5. Various features of laparoscopic tailored resection for gastric submucosal tumors: a single institution’s results for 168 patients vol.30, pp.4, 2011, https://doi.org/10.1007/s00464-015-4350-3
  6. Comparison of minilaparoscopy and single-incision intragastric surgery for gastric submucosal tumor resection in a porcine model vol.30, pp.10, 2016, https://doi.org/10.1007/s00464-016-4781-5
  7. Intragastric Surgery for Gastric Submucosal Tumor at the Cardiac Part vol.77, pp.6, 2011, https://doi.org/10.3919/jjsa.77.1317
  8. Experience with Transumbilical Single-incision Laparoscopic Intra-gastric Resection of Gastric Submucosal Tumors vol.43, pp.4, 2018, https://doi.org/10.4030/jjcs.43.560
  9. European association for endoscopic surgery (EAES) consensus statement on single-incision endoscopic surgery vol.33, pp.4, 2011, https://doi.org/10.1007/s00464-019-06693-2
  10. New intragastric sleeve technique reduces adipose tissue in pig experimental model: tomographic study vol.10, pp.1, 2011, https://doi.org/10.1038/s41598-020-74846-8
  11. Hybrid approach with laparoscopic wall‐inversion surgery and single‐incision intragastric surgery for intraluminal gastrointestinal stromal tumor: A case report vol.14, pp.4, 2021, https://doi.org/10.1111/ases.12927
  12. Résultats de la résection intra-gastrique laparoscopique vol.158, pp.6, 2011, https://doi.org/10.1016/j.jchirv.2020.09.006
  13. Results of laparoscopic intragastric surgery vol.158, pp.6, 2011, https://doi.org/10.1016/j.jviscsurg.2020.10.017