Intragastric approach for submucosal tumors located near the Z-line: A hybrid laparoscopic and endoscopic technique
Background The present study was designed to evaluate the feasibility and impact of the “intragastric” approach to laparoscopic wedge resection as a surgical option for the treatment of suspected small sized gastric submucosal tumors (SMTs) located at the level of Z‐line. Methods We reviewed six pat...
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| Veröffentlicht in: | Journal of surgical oncology 2011-09, Vol.104 (3), p.312-315 |
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| creator | Shim, Jung Ho Lee, Han Hong Yoo, Han Mo Jeon, Hae Myung Park, Cho Hyun Kim, Jun Gi Song, Kyo Young |
| description | Background
The present study was designed to evaluate the feasibility and impact of the “intragastric” approach to laparoscopic wedge resection as a surgical option for the treatment of suspected small sized gastric submucosal tumors (SMTs) located at the level of Z‐line.
Methods
We reviewed six patients who underwent laparoscopic intragastric resection of a suspected gastric SMT. In all cases, tumor mass was located just below the Z‐line. The patients' clinicopathologic characteristics and surgical outcomes were prospectively recorded and reviewed.
Results
All six patients were underwent successfully laparoscopic wedge resection by the intragastric approach using a balloon‐type trocar. No case was required open conversion. The mean operation time was 128 min, and the mean hospital stay was 4 days. Five cases were proven to have leiomyoma, and one case was found to have gastrointestinal stromal tumor with low risk. The mean tumor size was 2.7 cm.
Conclusion
Laparoscopic resection through the “intragastric” approach is a safe and feasible option for gastric SMTs located at the level of Z‐line. J. Surg. Oncol. 2011; 104:312–315. © 2011 Wiley‐Liss, Inc. |
| doi_str_mv | 10.1002/jso.21934 |
| format | Article |
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The present study was designed to evaluate the feasibility and impact of the “intragastric” approach to laparoscopic wedge resection as a surgical option for the treatment of suspected small sized gastric submucosal tumors (SMTs) located at the level of Z‐line.
Methods
We reviewed six patients who underwent laparoscopic intragastric resection of a suspected gastric SMT. In all cases, tumor mass was located just below the Z‐line. The patients' clinicopathologic characteristics and surgical outcomes were prospectively recorded and reviewed.
Results
All six patients were underwent successfully laparoscopic wedge resection by the intragastric approach using a balloon‐type trocar. No case was required open conversion. The mean operation time was 128 min, and the mean hospital stay was 4 days. Five cases were proven to have leiomyoma, and one case was found to have gastrointestinal stromal tumor with low risk. The mean tumor size was 2.7 cm.
Conclusion
Laparoscopic resection through the “intragastric” approach is a safe and feasible option for gastric SMTs located at the level of Z‐line. J. Surg. Oncol. 2011; 104:312–315. © 2011 Wiley‐Liss, Inc.</description><identifier>ISSN: 0022-4790</identifier><identifier>EISSN: 1096-9098</identifier><identifier>DOI: 10.1002/jso.21934</identifier><identifier>PMID: 21465489</identifier><language>eng</language><publisher>Hoboken: Wiley Subscription Services, Inc., A Wiley Company</publisher><subject>Adult ; Aged ; Endoscopy ; Feasibility Studies ; Female ; Gastrectomy ; Gastric Mucosa - pathology ; Gastric Mucosa - surgery ; Gastroscopy ; Humans ; intragastric resection ; Laparoscopy ; Male ; Middle Aged ; Stomach Neoplasms - pathology ; Stomach Neoplasms - surgery ; submucosal tumor ; Treatment Outcome ; Z-line</subject><ispartof>Journal of surgical oncology, 2011-09, Vol.104 (3), p.312-315</ispartof><rights>Copyright © 2011 Wiley‐Liss, Inc.</rights><rights>Copyright © 2011 Wiley-Liss, Inc.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4284-fc38746f983815114556d479726eb9dcdb915f51cb4f42b9c29ee8c2073daa23</citedby><cites>FETCH-LOGICAL-c4284-fc38746f983815114556d479726eb9dcdb915f51cb4f42b9c29ee8c2073daa23</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1002%2Fjso.21934$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1002%2Fjso.21934$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,776,780,1411,27901,27902,45550,45551</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/21465489$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Shim, Jung Ho</creatorcontrib><creatorcontrib>Lee, Han Hong</creatorcontrib><creatorcontrib>Yoo, Han Mo</creatorcontrib><creatorcontrib>Jeon, Hae Myung</creatorcontrib><creatorcontrib>Park, Cho Hyun</creatorcontrib><creatorcontrib>Kim, Jun Gi</creatorcontrib><creatorcontrib>Song, Kyo Young</creatorcontrib><title>Intragastric approach for submucosal tumors located near the Z-line: A hybrid laparoscopic and endoscopic technique</title><title>Journal of surgical oncology</title><addtitle>J. Surg. Oncol</addtitle><description>Background
The present study was designed to evaluate the feasibility and impact of the “intragastric” approach to laparoscopic wedge resection as a surgical option for the treatment of suspected small sized gastric submucosal tumors (SMTs) located at the level of Z‐line.
Methods
We reviewed six patients who underwent laparoscopic intragastric resection of a suspected gastric SMT. In all cases, tumor mass was located just below the Z‐line. The patients' clinicopathologic characteristics and surgical outcomes were prospectively recorded and reviewed.
Results
All six patients were underwent successfully laparoscopic wedge resection by the intragastric approach using a balloon‐type trocar. No case was required open conversion. The mean operation time was 128 min, and the mean hospital stay was 4 days. Five cases were proven to have leiomyoma, and one case was found to have gastrointestinal stromal tumor with low risk. The mean tumor size was 2.7 cm.
Conclusion
Laparoscopic resection through the “intragastric” approach is a safe and feasible option for gastric SMTs located at the level of Z‐line. J. Surg. Oncol. 2011; 104:312–315. © 2011 Wiley‐Liss, Inc.</description><subject>Adult</subject><subject>Aged</subject><subject>Endoscopy</subject><subject>Feasibility Studies</subject><subject>Female</subject><subject>Gastrectomy</subject><subject>Gastric Mucosa - pathology</subject><subject>Gastric Mucosa - surgery</subject><subject>Gastroscopy</subject><subject>Humans</subject><subject>intragastric resection</subject><subject>Laparoscopy</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Stomach Neoplasms - pathology</subject><subject>Stomach Neoplasms - surgery</subject><subject>submucosal tumor</subject><subject>Treatment Outcome</subject><subject>Z-line</subject><issn>0022-4790</issn><issn>1096-9098</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2011</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kE1PxCAQhonR6Ppx8A8YbsZDFShtwZvu-hmjBzcx8UIoTN1qt1Roo_vvRdf15olMeOaZmRehfUqOKSHs5DW4Y0ZlytfQiBKZJ5JIsY5G8Y8lvJBkC22H8EoIkTLnm2iLUZ5nXMgRCjdt7_WLDr2vDdZd5502M1w5j8NQzgfjgm5wP8ydD7hxRvdgcQva434G-Dlp6hZO8RmeLUpfW9zoTnsXjOu-ba3F0NpV2YOZtfX7ALtoo9JNgL3fdwdNLy-m4-vk7uHqZnx2lxjOBE8qk4qC55UUqaAZpTzLchuvKVgOpbTGlpJmVUZNySvOSmmYBBCGkSK1WrN0Bx0utfGmODX0al4HA02jW3BDUEJQIiTNSSSPlqSJuwcPlep8Pdd-oShR3wmrmLD6STiyB7_WGA_YP3IVaQROlsBH3cDif5O6fXxYKZNlRx16-Pzr0P5N5UVaZOrp_kqNOZue88lEXadfRDyVvg</recordid><startdate>20110901</startdate><enddate>20110901</enddate><creator>Shim, Jung Ho</creator><creator>Lee, Han Hong</creator><creator>Yoo, Han Mo</creator><creator>Jeon, Hae Myung</creator><creator>Park, Cho Hyun</creator><creator>Kim, Jun Gi</creator><creator>Song, Kyo Young</creator><general>Wiley Subscription Services, Inc., A Wiley Company</general><scope>BSCLL</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20110901</creationdate><title>Intragastric approach for submucosal tumors located near the Z-line: A hybrid laparoscopic and endoscopic technique</title><author>Shim, Jung Ho ; Lee, Han Hong ; Yoo, Han Mo ; Jeon, Hae Myung ; Park, Cho Hyun ; Kim, Jun Gi ; Song, Kyo Young</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4284-fc38746f983815114556d479726eb9dcdb915f51cb4f42b9c29ee8c2073daa23</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2011</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Endoscopy</topic><topic>Feasibility Studies</topic><topic>Female</topic><topic>Gastrectomy</topic><topic>Gastric Mucosa - pathology</topic><topic>Gastric Mucosa - surgery</topic><topic>Gastroscopy</topic><topic>Humans</topic><topic>intragastric resection</topic><topic>Laparoscopy</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Stomach Neoplasms - pathology</topic><topic>Stomach Neoplasms - surgery</topic><topic>submucosal tumor</topic><topic>Treatment Outcome</topic><topic>Z-line</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Shim, Jung Ho</creatorcontrib><creatorcontrib>Lee, Han Hong</creatorcontrib><creatorcontrib>Yoo, Han Mo</creatorcontrib><creatorcontrib>Jeon, Hae Myung</creatorcontrib><creatorcontrib>Park, Cho Hyun</creatorcontrib><creatorcontrib>Kim, Jun Gi</creatorcontrib><creatorcontrib>Song, Kyo Young</creatorcontrib><collection>Istex</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of surgical oncology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Shim, Jung Ho</au><au>Lee, Han Hong</au><au>Yoo, Han Mo</au><au>Jeon, Hae Myung</au><au>Park, Cho Hyun</au><au>Kim, Jun Gi</au><au>Song, Kyo Young</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Intragastric approach for submucosal tumors located near the Z-line: A hybrid laparoscopic and endoscopic technique</atitle><jtitle>Journal of surgical oncology</jtitle><addtitle>J. Surg. Oncol</addtitle><date>2011-09-01</date><risdate>2011</risdate><volume>104</volume><issue>3</issue><spage>312</spage><epage>315</epage><pages>312-315</pages><issn>0022-4790</issn><eissn>1096-9098</eissn><abstract>Background
The present study was designed to evaluate the feasibility and impact of the “intragastric” approach to laparoscopic wedge resection as a surgical option for the treatment of suspected small sized gastric submucosal tumors (SMTs) located at the level of Z‐line.
Methods
We reviewed six patients who underwent laparoscopic intragastric resection of a suspected gastric SMT. In all cases, tumor mass was located just below the Z‐line. The patients' clinicopathologic characteristics and surgical outcomes were prospectively recorded and reviewed.
Results
All six patients were underwent successfully laparoscopic wedge resection by the intragastric approach using a balloon‐type trocar. No case was required open conversion. The mean operation time was 128 min, and the mean hospital stay was 4 days. Five cases were proven to have leiomyoma, and one case was found to have gastrointestinal stromal tumor with low risk. The mean tumor size was 2.7 cm.
Conclusion
Laparoscopic resection through the “intragastric” approach is a safe and feasible option for gastric SMTs located at the level of Z‐line. J. Surg. Oncol. 2011; 104:312–315. © 2011 Wiley‐Liss, Inc.</abstract><cop>Hoboken</cop><pub>Wiley Subscription Services, Inc., A Wiley Company</pub><pmid>21465489</pmid><doi>10.1002/jso.21934</doi><tpages>4</tpages></addata></record> |
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| source | MEDLINE; Wiley Online Library Journals Frontfile Complete |
| subjects | Adult Aged Endoscopy Feasibility Studies Female Gastrectomy Gastric Mucosa - pathology Gastric Mucosa - surgery Gastroscopy Humans intragastric resection Laparoscopy Male Middle Aged Stomach Neoplasms - pathology Stomach Neoplasms - surgery submucosal tumor Treatment Outcome Z-line |
| title | Intragastric approach for submucosal tumors located near the Z-line: A hybrid laparoscopic and endoscopic technique |
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