Combined laparoscopic and endoscopic submucosal resection of gastric antrum-body tumors originated from the muscularis propria
10.3760/cma.j.issn.1007-5232.2014.06.005
- VernacularTitle:内镜辅助腹腔镜剥离切除术治疗胃窦体固有肌层肿瘤的初步应用
- Author:
Zhifeng ZHAO
;
Hongxu JIN
;
Shuren MA
;
Zhuo YANG
;
Guang YANG
;
Yanan SUN
;
Xiaolong JIN
- Publication Type:Journal Article
- Keywords:
Laparoscopy;
Endoscopy;
Stomach neoplasms;
Tumors originated from the muscularis propria
- From:
Chinese Journal of Digestive Endoscopy
2014;31(6):317-320
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate clinical effect of combined laparoscopic and endoscopic submucosal resection for the gastric antrum-body tumors originated from the muscularis propria.Methods A total of 8 patients with gastric antrum-body tumors originated from the muscularis propria were treated by combined laparoscopic and endoscopic submucosal resection from Jan 2013 to Apr 2014.All patients were diagnosed as having gastric antrum-body tumors originated from the muscularis propria by preoperative endoscopic ultrasonography.Endoscopy showed that the surface mucosa of tumors were normal in all patients.Tumors were found in the gastric antrum-body front wall in 4 cases,and in the back wall in 2 cases,and in the lesser omental bursa in 1 case,and in the greater omental bursa in 1 case.The tumors size was from 1.5 to 3.5 cm,averaging (2.4 ± 0.7) cm.The therapeutic procedure included three phases.The lesion was first exposed with laparoscopy.Then,the fluid was injected into the submucosa in the part of tumor by endoscopy.Finally the tumor was resected by laparoscopy.These patients were followed up and analyzed retrospectively.Results Combined laparoscopic and endoscopic submucosal resection was successfully performed in all patients.All tumors were resected completely.Sever bleeding,infection or death were not found in any patients.Postoperative pathology and immunohistochemistry staining confirmed 6 stromal tumors and 2 neurofibroma.All patients were followed up for 6 months,and there was no recurrent case.Gastric mucosa and function were normal in all patients.Conclusion Combined laparoscopic and endoscopic submucosal resection is a simple,safe and effective method for gastric antrum-body tumors originated from the muscularis propria,and leads to little complication.
