Abstract
Gastric adenomas are benign tumors that are treated by fiberendoscopic removal, but large tumors need a surgical approach for resection. Laparoscopic approach fails to localize the exact placement of the lesion due to lack of sensitivity and fiberoptic control is advisable. We present a case of a large gastric adenoma that was resected by laparoscopy assisted with flexible gastric peroperative endoscopy because the lesion could not be palpated. A lateral gastric resection including the adenoma and wide margins was performed with an endostapler under fiberoptic control. Minimally invasive ancillary techniques enhance the efficacy of laparoscopic surgical procedures, especially in situations in which the lack of tactile feeling limits this approach.
This is a preview of subscription content, log in via an institution to check access.
Similar content being viewed by others
References
Abercrombie JF, McAnena OJ, Rogers J, Williams NS (1993) Laparoscopic resection of a bleeding gastric tumour. Br J Surg 80: 373
Bordas JM, Llach J, Mondelo (1994) La fibroendoscopia y la cirugi a, convencional y laparoscópica. Gastroenterol Hepatol 17: 588–597
Clancy TV, Moore PM, Ramshaw DG, Kays CR (1994) Laparoscopic excision of a benign gastric tumor. J Laparosc Surg, 1994, 4: 277–280
Deppisch LM, Rona VT (1989) Gastric epithelial polyps. A 10-year study. J Clin Gastroenterol 11(1): 110–115
Ghazi A, Ferstenberg H, Shinya H (1984) Endoscopic gastroduodenal polypectomy. Ann Surg 200(2): 175–180
Ohgami M, Kumai K, Otani Y, Wakabayashi G, Kubota T, Kitajima M (1994) Laparoscopic wedge resection of the stomach for early gastric cancer using a lesion lifting method. Dig Surg 11: 64–67
Rattan J, Arber N, Tiomny E, Moshkowitz M, Chapsky Y, Baratz M, Rozen P, Gilat T (1993) Gastric polypoid lesions—an eight-year study. Hepatogastroenterology 40: 107–109
Trias M, Targarona EM, Cifuentes A, Balagué C, Martinez J (1995) Intraluminal stapled laparoscopic cystogastrostomy for treatment of pancreatic pseudocyst. Br J Surg 82: 403
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Trías, M., Targarona, E.M., Balagué, C. et al. Endoscopically-assisted laparoscopic partial gastric resection for treatment of a large benign gastric adenoma. Surg Endosc 10, 344–346 (1996). https://doi.org/10.1007/BF00187388
Received:
Accepted:
Issue Date:
DOI: https://doi.org/10.1007/BF00187388