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http://dx.doi.org/10.5230/jgc.2011.11.4.230

New Surgical Approach for Gastric Bezoar: "Hybrid Access Surgery" Combined Intragastric and Single Port Surgery  

Son, Tae-Il (Department of Surgery, Yonsei University College of Medicine)
Inaba, Kazuki (Department of Surgery, Fujita Health University)
Woo, Yang-Hee (Department of Surgery, College of Physicians and Surgeons, Columbia University)
Pak, Kyung-Ho (Department of Surgery, Yonsei University College of Medicine)
Hyung, Woo-Jin (Department of Surgery, Yonsei University College of Medicine)
Noh, Sung-Hoon (Department of Surgery, Yonsei University College of Medicine)
Publication Information
Journal of Gastric Cancer / v.11, no.4, 2011 , pp. 230-233 More about this Journal
Abstract
Regarding the removal of a gastric bezoar, laparoscopic surgery was performed and it was shown that the laparoscopic approach is safe and feasible. However, the laparoscopic method has the risk of intraabdominal contamination, when the gastric bezoar is retrieved from the gastric lumen in the peritoneal cavity. We developed and applied a new procedure for the removal of the gastric bezoar using one surgical glove and two wound retractors as a fashion of intragastric single port surgery. Herein we present this new minimal invasive procedure, so named "hybrid access surgery" which involves the use of existing devices and overcomes the weakness of laparoscopic removal of the gastric bezoar. Our new procedure, combining the concept of intragastric and single port access, is acceptable and feasible to retrieve the gastric bezoar. In the future, this procedure may be one of the alternative procedures for retrieving gastric bezoar even when it is incarcerated in the pylorus.
Keywords
Laparoscopy; Bezoars; Intragastric surgery; Single port surgery;
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