Extraluminal Laparoscopic Wedge-Resection of Submucosal Tumors on the Posterior Wall of the Gastric Fundus Close to the Esophagocardiac Junction

2009 ◽  
Vol 19 (6) ◽  
pp. 741-744 ◽  
Author(s):  
Zhong-wei Ke ◽  
Dan-lei Chen ◽  
Jing-li Cai ◽  
Cheng-zhu Zheng
Keyword(s):  
Wedge Resection ◽  
Posterior Wall ◽  
Gastric Fundus ◽  
Laparoscopic Wedge Resection ◽  
Submucosal Tumors

Laparoscopic Wedge Resection of Gastric Submucosal Tumors

2002 ◽  
Vol 19 (3) ◽  
pp. 169-173 ◽  
Author(s):  
S. Shimizu ◽  
H. Noshiro ◽  
E. Nagai ◽  
A. Uchiyama ◽  
K. Mizumoto ◽  
...  
Keyword(s):  
Wedge Resection ◽  
Laparoscopic Wedge Resection ◽  
Submucosal Tumors ◽  
Gastric Submucosal Tumors

Laparoscopic Wedge Resection of Gastric Submucosal Tumors

2000 ◽  
Vol 10 (1) ◽  
pp. 19-23 ◽  
Author(s):  
Yoshihide Otani ◽  
Masahiro Ohgami ◽  
Naoki Igarashi ◽  
Masaru Kimata ◽  
Tetsuro Kubota ◽  
...  
Keyword(s):  
Wedge Resection ◽  
Laparoscopic Wedge Resection ◽  
Submucosal Tumors ◽  
Gastric Submucosal Tumors

scholarly journals Laparoscopic Wedge Resection of the Stomach in Gastric Carcinoma.

2002 ◽  
Vol 63 (10) ◽  
pp. 2368-2373
Author(s):  
Goro HONDA ◽  
Mitsuhiro ARAI ◽  
Makoto KAMESAKI ◽  
Shigeki OSHIMA ◽  
Seiji MITA ◽  
...  
Keyword(s):  
Gastric Carcinoma ◽  
Wedge Resection ◽  
Laparoscopic Wedge Resection

Minimally Invasive Resection of Benign Gastric Tumors in Challenging Locations: Prepyloric Region or Gastroesophageal Junction

2013 ◽  
Vol 79 (10) ◽  
pp. 968-972 ◽  
Author(s):  
Christopher Armstrong ◽  
Alana Gebhart ◽  
Brian R. Smith ◽  
Ninh T. Nguyen
Keyword(s):  
Minimally Invasive ◽  
Perioperative Complications ◽  
Wedge Resection ◽  
Gastroesophageal Junction ◽  
Surgical Techniques ◽  
Surgical Approaches ◽  
Anatomic Resection ◽  
Submucosal Tumors ◽  
Gastric Tumors ◽  
Minimally Invasive Surgical

Benign gastric tumors in a prepyloric location or within 3 cm adjacent of the gastroesophageal junction (GEJ) are often challenging to resect using minimally invasive surgical techniques. The aim of this study was to examine the outcomes of patients who underwent minimally invasive enucleation or resection of benign gastric tumors at these difficult locations. The charts of patients undergoing minimally invasive resection of benign-appearing submucosal gastric tumors between June 2001 and December 2012 were reviewed. Data on tumor size and location, type of minimally invasive surgical resection, perioperative complications, 90-day mortality, pathology, and recurrence were collected. A total of 70 consecutive patients underwent laparoscopic resection of benign-appearing submucosal gastric tumors; there were 24 patients with lesions close to the GEJ and nine patients with lesions close to the prepyloric region. All lesions were successfully resected laparoscopically. For prepyloric tumors, surgical approaches included enucleation (n = 1), wedge resection (n = 2), and distal gastrectomy with reconstruction (n = 6). For tumors close to the GEJ, surgical approaches included enucleation (n = 16), wedge resection (n = 3), and esophagogastrectomy (n = 5). Complications in this series of 33 patients included late strictures requiring endoscopic dilation in three patients who underwent esophagogastrectomy. The 90-day mortality rate was zero. There were no recurrences over a mean follow-up of 15 months (range, 1 to 86 months). Minimally invasive enucleation or formal anatomic resection of submucosal tumors located adjacent to the GEJ or at the prepyloric region is safe and carries a low risk for tumor recurrence. Submucosal gastric lesions adjacent to the GEJ are amenable to laparoscopic enucleation or wedge resection unless they extend proximally into the esophagus. Prepyloric lesions often require formal anatomic resection with reconstruction.

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