J Gastric Cancer.  2011 Dec;11(4):225-229.

The Single Incision Laparoscopic Intragastric Wedge Resection of Gastric Submucosal Tumor

• Na JU
• Lee SI
• Noh SM

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/m2 (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.

Keyword

Laparoscopy; Surgical procedures, minimally invasive; Gastrointestinal stromal tumors; Gastrectomy; Stomach neoplasms

MeSH Terms

Body Mass Index
Cardia
Female
Gastrectomy
Gastrointestinal Stromal Tumors
Humans
Laparoscopy
Length of Stay
Male
Stomach Neoplasms
Surgical Procedures, Minimally Invasive

Figure

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  Fig. 1 Single port device (OCTO™ Dalim, Seoul, Korea) was placed at the umbilicus of patient. Th ere were 4 ports. A black arrow head (▴) is 5~12 mm transformable port. A white arrow head (▵) is 5/10 mm port with dual sealing mechanism. Two arrows (↑) are ports for 5 mm devices. In our procedure, the 5~12 mm port was for 10 mm telescope, 5/10 mm port was for 10 mm endo-GIA.

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