Devised laparoscopic resection combined with endoscopy for gastric gist—report of a case—

Abstract

A 77-year-old woman was admitted to our hospital because of an increasing gastric submucosal tumor with an intraluminal growth. Laparoscopic surgery was performed using 4 ports. After the location of the tumor was intraoperatively confirmed by an endoscope, the resection line was determined. The full thickness of the gastric wall was endoscopically incised at 4 sites around the tumor using a needle-knife. The lesion was laparoscopically removed from these incised sites using laparosonic coagulating shears. After temporary sutures using tractile fibers with a loop, a simple closure was performed by endocutter. The histopathological diagnosis was low-grade-GIST and the surgical margin was free from tumors. The patient was discharged without postoperative complications.
In the treatment of GIST with an intraluminal growth, this approach is a useful and simple procedure with safety surgical margin and minimal removal of the stomach wall.