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Japanese

Laparoscopic transgastric resection of gastric submucosal tumor located near the esophagogastric junction Masaki OHI 1 , Junichirou HIRO 1 , Yuuji TOIYAMA 1 , Kouji TANAKA 1 , Yasuhiko MOHRI 2 , Masato KUSUNOKI 1,2 1Department of Gastrointestinal Surgery and Pediatric Surgery,Mie University Graduate School of Medicine 2Department of Innovative Surgery,Mie University Graduate School of Medicine Keyword: 腹腔鏡下手術 , 胃粘膜下腫瘍 , 食道胃接合部 pp.275-280
Published Date 2009/6/15
DOI https://doi.org/10.11477/mf.4426100336
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 Wedge resection of the stomach is suitable for the surgical treatment of submucosal tumors. However, for submucosal tumors located near the esophagogastric junction, this procedure is not easy, and caution should be taken to protect esophagogastric junction from postoperative stenosis or deformity.

A 42-year-old woman was admitted to our hospital for resection of a 3.5-cm gastric submucosal tumor located on the greater or anterior wall of the fornix, near the esophagogastric junction. Gastric submucosal tumor was diagnosed, and laparoscopic wedge resection by the transgastric approach was performed. The histological diagnosis was leiomyoma. The postoperative course was uneventful and the patient was discharged on the 11 th postoperative day.

This approach allows direct visualization of the tumor and better control of the surgical margin. It also produces less stenosis or deformity of the esophagogastric junction.


Copyright © 2009, JAPAN SOCIETY FOR ENDOSCOPIC SURGERY All rights reserved.

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電子版ISSN 2186-6643 印刷版ISSN 1344-6703 日本内視鏡外科学会

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