1995 Volume 47 Pages 60-63
We have laparoscopically treated 7 patients with leiomyosarcoma of the stomach. The operative procedure and outcome are as follows ; by grasping the intact wall of the stomach near the lesion with two clamps, the lesion was pulled up and resected with Endo GIA (US Surgical, USA) . The size of tumors ranged from 18 to 38 mm in diameter and all specimens had sufficient distance from the surgical margin. The average operation time was 140 minutes. All patients could start diet on 1 POD and were discharged within 5-7 days uneventfully. No recurrence of the tumor was observed in two and half years follow up.
We routinely use Laparosonic Coagulating Shears (Ultra Cision, USA) . By using LCS, the removal of the vessels around the stomach wall is much easier than before. Laparoscopic resection of the tumors on the lesser or greater curvature and also on the posterior wall of the stomach is not a time-consuming surgery in recent experience.
The laparoscopic wedge resection of the stomach for leiomyosarcoma is a safe, accurate and also minimally invasive method.
