Laparoscopic‐endoscopic cooperative surgery for ileal lipoma: A case report

2020 ◽  
Vol 13 (2) ◽  
pp. 219-222
Author(s):  
Ryota Nakanishi ◽  
Yosuke Fukunaga ◽  
Toshiya Nagasaki ◽  
Shin Emoto ◽  
Kazuyoshi Hirayama ◽  
...  
Keyword(s):  
Case Report ◽  
Ileal Lipoma ◽  
Laparoscopic Endoscopic Cooperative Surgery

scholarly journals Laparoscopic management of an octogenarian adult intussusception caused by an ileal lipoma suspected preoperatively: a case report

2015 ◽  
Vol 13 (1) ◽  
pp. 75 ◽  
Author(s):  
Jiro Shimazaki ◽  
Takeshi Nakachi ◽  
Takanobu Tabuchi ◽  
Shuji Suzuki ◽  
Hideyuki Ubukata ◽  
...  
Keyword(s):  
Case Report ◽  
Adult Intussusception ◽  
Laparoscopic Management ◽  
Ileal Lipoma

scholarly journals Giant ileocolic intussusception in an adult induced by a double ileal lipoma: a case report with pathologic correlation

2016 ◽  
Vol 11 (3) ◽  
pp. 148-151 ◽  
Author(s):  
Pantelis Kraniotis ◽  
Georgios Pastromas ◽  
Irene Tsota ◽  
Maria Patsoura ◽  
Theodore Petsas
Keyword(s):  
Case Report ◽  
Ileocolic Intussusception ◽  
Pathologic Correlation ◽  
Ileal Lipoma

scholarly journals A137 LAPAROSCOPIC ENDOSCOPIC COOPERATIVE SURGERY FOR GASTROINTESTINAL STROMAL TUMOURS: EARLY EXPERIENCE IN A CANADIAN ACADEMIC CENTRE

2021 ◽  
Vol 4 (Supplement_1) ◽  
pp. 122-123
Author(s):  
D J Low ◽  
A Fecso ◽  
T Chesney ◽  
J Mosko
Keyword(s):  
Case Report ◽  
Wedge Resection ◽  
Gastric Gist ◽  
Full Thickness ◽  
Review Of The Literature ◽  
Gastrointestinal Stromal Tumours ◽  
Canadian Experience ◽  
Endoscopic Guidance ◽  
Subepithelial Lesions ◽  
Laparoscopic Endoscopic Cooperative Surgery

Abstract Background Surgical resection with laparoscopic gastric wedge resection is commonly conducted for local management of gastrointestinal stromal tumours (GIST). However, resection margins are often difficult to appreciate for lesions with larger endophytic components. As a result, tumour margins may be compromised or excess tissue resected. Laparoscopic endoscopic cooperative surgery (LECS) was developed in Japan to overcome these technical challenges in the resection of subepithelial lesions, including GISTs. Here, we present a case report of an early Canadian experience utilizing LECS in the management of gastric GIST. Aims To describe a case report of an early Canadian experience of LECS for the resection of a gastric GIST. Methods We performed a review of the literature and describe a case of LECS. Results We present a 70-year-old female referred to our centre for endoscopic resection of a 2.5x2.5cm histologically confirmed gastric GIST (low mitotic index and no known metastases). Repeat endoscopic evaluation at our centre confirmed a 25-30mm subepithelial lesion with both exophytic (small) and endophytic (large) components. After tumour board review, we opted for a LECS approach. In the OR, the lesion was identified endoscopically and marked with a Dual J-Knife (Olympus). The margins were injected with a combination of Voluven, methylene blue, and dilute epinephrine. A circumferential incision was then completed using standard ESD technique. The lesion was subsequently identified laparoscopically, with endoscopic guidance, along the lesser curvature. The lesser omentum was mobilized for clear visualization of the serosa around the lesion. A full thickness incision was made endoscopically along the distal aspect of lesion. Full thickness resection was continued endoscopically for one third of the circumference of the lesion until gastric insufflation became compromised. Full thickness resection was completed laparoscopically under endoscopic guidance with grossly negative margins. The defect was closed with running laparoscopic sutures. Endoscopic leak test was performed which was negative. The specimen was retrieved and follow up pathology demonstrated a GIST with low mitotic index and negative margins without tumour rupture. Conclusions In a review of the literature, LECS appears to minimize tissue resection while maintaining R0 resection rates. This technique is especially useful for subepithelial lesions with larger endophytic and transmural components. It has an excellent safety profile with a less than 5% anastomotic leak rate. As such, the literature supports LECS as a suitable procedure for gastric subepithelial lesions <50 mm. However, further studies are needed to compare it systematically to conventional laparoscopic wedge resection in addition to other innovative endoscopic techniques such as STER and EFTR. Funding Agencies None

scholarly journals Resolution of intussusception after spontaneous expulsion of an ileal lipoma per rectum: a case report and literature review

2014 ◽  
Vol 12 (1) ◽  
pp. 143 ◽  
Author(s):  
Bin Kang ◽  
Qingkai Zhang ◽  
Dong Shang ◽  
Qingqiang Ni ◽  
Faheem Muhammad ◽  
...  
Keyword(s):  
Case Report ◽  
Literature Review ◽  
Spontaneous Expulsion ◽  
Ileal Lipoma

Multiple gastric gastrointestinal stromal tumors treated by laparoscopic-endoscopic cooperative surgery: A case report

2016 ◽  
Vol 9 (4) ◽  
pp. 336-339 ◽  
Author(s):  
Eri Maeda ◽  
Masao Fujiwara ◽  
Hironobu Suto ◽  
Eisuke Asano ◽  
Takayoshi Kishino ◽  
...  
Keyword(s):  
Case Report ◽  
Gastrointestinal Stromal Tumors ◽  
Stromal Tumors ◽  
Laparoscopic Endoscopic Cooperative Surgery

The Laparoscopic-Endoscopic Cooperative Surgery for the Colonic Calcifying Fibrous Tumor: One Case Report

2012 ◽  
Vol 22 (10) ◽  
pp. 996-998 ◽  
Author(s):  
Qiang Shi ◽  
Mei-Dong Xu ◽  
Yun-Shi Zhong ◽  
Ping-Hong Zhou ◽  
Hai-Fu Wu ◽  
...  
Keyword(s):  
Case Report ◽  
Calcifying Fibrous Tumor ◽  
Fibrous Tumor ◽  
Laparoscopic Endoscopic Cooperative Surgery

Urgent Management of the Adult Intussusception Caused by Ileal Lipoma: A Case Report

2015 ◽  
Vol 40 (1) ◽  
pp. 75-80
Author(s):  
Tomohiro Kunishige ◽  
Hisanori Kashizuka ◽  
Kiyoshi Kamada ◽  
Yoshikazu Tsurui ◽  
Sanehito Ogawa ◽  
...  
Keyword(s):  
Case Report ◽  
Adult Intussusception ◽  
Ileal Lipoma
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