Laparoscopic resection of posterior gastric leiomyoma

Abstract

Laparoscopic gastric surgery is gaining momentum, especially in the treatment of benign disease. Simultaneous endoscopy and laparoscopy allow precise localization of lesions. Because of the stomach's size, mobility, and distensibility, relatively large lesions can be safely excised. Wedge resection for anterior lesions and a transgastric or intragastric approach for posterior lesions are feasible laparoscopically. Two cases of posterior gastric leiomyomas successfully resected laparoscopically are presented. The use of stapling devices greatly facilitates this procedure.

Laparoscopic resection of a huge intraluminal gastric submucosal tumor located in the anterior wall: Eversion method

“…For the extraluminal lesions, wedge resection is optimum regardless of the size and location; provided accurate localization and no passage disturbance after resection [2][3][4][5]12]. For posterior intraluminal gastric lesions, intragastric resection is feasible for superficial lesions which do not need a full-thickness gastric wall excision whereas a full-thickness gastric resection is achieved through an anterior gastrotomy [6][7][8][9]13]. Most of the reports of laparoscopic resection of submucosal tumors are by far about techniques for lesions located on the posterior wall or near the gastric inlet and outlet.…”

Tailored-approach of laparoscopic wedge resection for treatment of submucosal tumor near the esophagogastric junction

“…Transgastric resection [13,14] is a good procedure for tumors located at the posterior wall of the stomach. This approach allows direct visualization of the lesion and better control of the surgical margin.…”

Laparoscopic wedge resection of a gastric leiomyoma

“…Thus, laparoscopic resection via an anterior gastrotomy has been described. 15,[17][18][19][20] With this technique, an anterior gastrotomy is first performed; then, the mass is removed either with all layers of the posterior gastric wall or removed leaving the posterior gastric wall partially intact. Closure of the defect can be performed via the anterior gastrotomy via laparoscopic stapling or suturing techniques.…”