Laparoscopic resection of a huge intraluminal gastric submucosal tumor located in the anterior wall: Eversion method
Laparoscopic resection of a huge intraluminal gastric submucosal tumor located in the anterior wall: Eversion method
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DOI：
10.1002/jso.20195
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发表时间：
2005-02-01
影响因子：
2.5
通讯作者：
Noh, SH
中科院分区：
文献类型：
--
作者：
Hyung, WJ;Lim, JS;Noh, SH
虽然胃黏膜下肿瘤的手术入路有很多，但腹腔镜胃黏膜下肿瘤楔形切除术是近年来的首选。随着诊断性内镜的广泛应用，许多胃粘膜下肿瘤被发现，腹腔镜楔形切除术的频率正在增加。腹腔镜胃黏膜下肿瘤楔形切除术的报道很多，但大多数是针对后壁或食管胃交界处的肿瘤。通常，楔形切除前壁肿瘤被认为是一个简单的程序，特别是当肿块是腔外肿块。然而，当肿瘤是巨大的和管腔内，这是非常困难的切除而不损害胃腔的楔形切除术的巨大管腔内肿块原位不可避免地包括一个广泛的部分正常胃壁。在这篇文章中，我们描述了一个成功地进行了腹腔镜楔形切除术的巨大腔内胃粘膜下肿瘤，同时保留残余胃的体积，而不损害胃腔使用外翻方法通过胃切开术与腹腔镜超声引导。(C)2005 Wiley-Liss，Inc.
Although numerous operative approaches have been utilized for gastric submucosal tumors, laparoscopic wedge resection has been regarded as the treatment of choice in recent years. As widespread use of diagnostic endoscopy has exposed a number of gastric submucosal tumors, the laparoscopic wedge resections are being performed with increased frequency. Many reports have been published which describe the technique of laparoscopic wedge resection of gastric submucosal tumors, and by far most of them were about the techniques for masses located at the posterior wall or esophagogastric junction. Generally, wedge resection for tumors on the anterior wall is regarded as an easy procedure especially when the mass is extraluminal mass. However, when the tumor is huge and intraluminal, it is very difficult to resect without compromising the gastric lumen as wedge resection of a huge intraluminal mass in situ inevitably includes a wide portion of normal gastric wall. In this article, we describe a successfully performed laparoscopic wedge resection of a huge intraluminal gastric submucosal tumor while preserving the volume of residual stomach without compromising the gastric lumen using the Eversion method through gastrotomy made with laparoscopic ultrasound guidance. (C) 2005 Wiley-Liss, Inc.