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Surgical Endoscopy
Published in: Surgical Endoscopy 8/2006

01-08-2006 | Multimedia articles

Laparoscopic ultrasound-guided resection of gastric submucosal tumors

Authors: R. Santambrogio, M. Montorsi, L. Schubert, A. Pisani Ceretti, M. Costa, E. Moroni, E. Opocher

Published in: Surgical Endoscopy | Issue 8/2006

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Abstract

Background

The laparoscopic resection of gastric stromal tumors is being performed with increased frequency. Wedge resection of anterior wall lesions is generally performed. The treatment of posterior wall lesions is still controversial.

Methods

We report three cases of gastric submucosal tumors treated by a laparoscopic wedge resection of the stomach. All lesions were localized anterior gastric wall by intraoperative ultrasound on the. In the first patient the resection was performed with an endoscopic stapler; in the other patients, ultrasonic coagulation in association with an intracorporeal suture has been used.

Results

All patients were successfully treated laparoscopically; there were no conversions to open surgery. In all cases the operative course was uneventful. The postoperative hospital stay ranged from 6 to 8 days.

Conclusions

The results suggest that laparoscopic surgery is an adequate strategy for gastric submucosal neoplasms including gastrointestinal stromal tumors (GIST). Intraoperative ultrasound is very useful in the selection of the technical approach with or without the endoscopic stapler.
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Metadata
Title
Laparoscopic ultrasound-guided resection of gastric submucosal tumors
Authors
R. Santambrogio
M. Montorsi
L. Schubert
A. Pisani Ceretti
M. Costa
E. Moroni
E. Opocher
Publication date
01-08-2006
Publisher
Springer-Verlag
Published in
Surgical Endoscopy / Issue 8/2006
Print ISSN: 0930-2794
Electronic ISSN: 1432-2218
DOI
https://doi.org/10.1007/s00464-005-0600-0

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