Abstract
Two different operative techniques for resection of gastric submucosal tumors through a single incision and one needle-puncture are described. One involves an extragastric approach, which is indicated for tumors at a location distant from the esophagogastric junction. The other involves an endoluminal approach, which is indicated for tumors located at the esophagogastric junction. We use the x-Gate® multichannel port (Sumitomo Bakelite, Tokyo, Japan), through which two or three instruments are inserted. In addition we use BJ needle® (Niti On Co., Chiba, Japan), a 2-mm grasper, through a puncture site. With the extragastric approach, tumors are excised in full-thickness by an ultrasonically activated device, and this is followed by manual suturing. With the endoluminal approach a temporary gastrostomy is constructed at the navel, through which the x-Gate® (Sumitomo Bakelite) is fixed in the gastric cavity. Under percutaneous gastroscopic view, tumors at the esophagogastric junction are resected in full thickness, and this is followed by manual suturing. The techniques described here can be safely performed, and the cosmetic result of both techniques is satisfactory.
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© 2014 Springer Japan
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Kanehira, E., Kamei, A., Tanida, T. (2014). Wedge Gastric and Endo-Gastric Resection. In: Mori, T., Dapri, G. (eds) Reduced Port Laparoscopic Surgery. Springer, Tokyo. https://doi.org/10.1007/978-4-431-54601-6_19
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DOI: https://doi.org/10.1007/978-4-431-54601-6_19
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