Abstract
Lesions of the gastric wall and the gastric mucosa usually require removal either because of symptoms or for diagnosis. Wedge resections are sometimes possible for small lesions on the anterior wall of the body of the stomach; however, a careful excision via gastrotomy or partial gastrectomy have been required for lesions on the posterior gastric wall and those close to either the pylorus or the gastroesophageal junction. For a trained laparoscopic surgeon, a laparoscopic wedge resection of an anterior gastric wall lesion can usually be accomplished. Laparoscopic endogastric surgery has been gaining popularity. Endogastric surgery was first described by Way et al. using special trocars for intraluminal surgery to do pancreatic cystgastrostomy.1 Several reports have been published subsequently that use similar techniques to remove gastric lesions.2–8 The method has been given several different names, such as endoluminal surgery, endogastric surgery, laparoscopic intragastric surgery (LIGS), and transgastric surgery. The techniques vary slightly, but along with a gastroscope all involve a laparoscopic approach with special trocars passed through the abdominal wall and the anterior gastric wall into the stomach.
This is a preview of subscription content, log in via an institution to check access.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Preview
Unable to display preview. Download preview PDF.
References
Way LW, Legha P, Mori T. Laparoscopic cystgastrostomy: the first operation in the field of intraluminal laparoscopic surgery. Surg Endosc 1994;8:448.
Taniguchi E, Kamiike W, Yamanishi H, et al. Laparoscopic intragastric surgery foor gastric leiomyoma. Surg Endosc 1997;11:287–289.
Kanehira E, Mori A, Watanabe T, et al. A technique of laparoscopic intragastric surgery in the treatment of gastric carcinoma in situ. Surg Endosc 1994;8:547.
Hashimoto S, Munakata Y, Hayashi K, et al. Laparoscopic intraluminal resection for the submucosal tumor in the cardia. Surg Endosc 1994;8:547.
Murai R, Ando H, Mitsumori N, et al. Laparoscopic intragastric mucosal resection. Surg Endosc 1994;8:599.
Kitano S, Kawanaka H, Tomikawa M, et al. Bleeding from gastric ulcer halted by laparoscopic suture ligation. Surg Endosc 1994;8:405–407.
Ohashi S. Laparoscopic intraluminal (intragastric) surgery for early gastric cancer. A new concept in laparoscopic surgery. Surg Endosc 1995;9:169–171.
Gagner M. Laparoscopic transgastric cystogastrostomy for pancreatic pseudocyst. Sages Manual, 1994; p 73.
Gurbuz AT, Peetz ME. Resection of a gastric leiomyoma using combined laparoscopic and gastroscopic approach. Surg Endosc 1997;11:285–286.
Ibrahim IM, Silvestri F, Zingler B. Laparoscopic resection of posterior gastric leiomyoma. Surg Endosc 1997;11:277–279.
Siu WT, Leong HT, Li MKW. Laparoscopic resection of bleeding gastric polyps. Surg Endosc 1997;11:283–284.
Otani Y, Ohgami M, Hoshiya Y, et al. Laparoscopic wedge resection of the stomach for carcinoid tumor using a lesion lifting method. Surg Endosc 1997; 8:546.
Basso N, Silecchia G, Pizzuto G, et al. Laparoscopic excision of posterior gastric wall leiomyoma. Surg Laparosc Endosc 1996;6:65–67.
Yamashita Y, Bekki F, Kakegawa T, et al. Two laparoscopic techniques for resection of leiomyoma in the stomach. Surg Laparosc Endosc 1995;5:38–42.
Petelin JB, Renner P. Laparoscopic pancreatic pseudocyst-gastrostomy. Surg Endosc 1994;8:448.
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 1999 Springer Science+Business Media New York
About this paper
Cite this paper
Oddsdottir, M. (1999). Endogastric Surgery. In: Merrell, R.C., Olson, R.M. (eds) Laparoscopic Surgery. Springer, New York, NY. https://doi.org/10.1007/978-1-4612-1408-3_6
Download citation
DOI: https://doi.org/10.1007/978-1-4612-1408-3_6
Publisher Name: Springer, New York, NY
Print ISBN: 978-1-4612-7132-1
Online ISBN: 978-1-4612-1408-3
eBook Packages: Springer Book Archive