Transgastric Single-Incision Laparoscopic Resection for a Gastric Submucosal Tumor Located at the Cardia

Introduction Surgical treatment of gastric submucosal tumors (SMTs) located near the gastroesophageal junction can be technically challenging, especially regarding preservation of the integrity and function of the lower esophageal sphincter. We introduce a novel minimally invasive surgery, successfu...

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Bibliographic Details
Published in:Annals of surgical oncology 2023-05, Vol.30 (5), p.2954-2954
Main Authors: Liu, Zhong-Hui, Fan, Joe King-Man, Wu, Can, Chan, Fion Siu-Yin, Law, Simon
Format: Article
Language:English
Subjects:
Adult
Cardia - pathology
Cardia - surgery
Esophageal sphincter
Female
Gastric Mucosa - pathology
Gastric Mucosa - surgery
Gastrointestinal Oncology
Gastroscopy
Humans
Laparoscopy
Medicine
Medicine & Public Health
Oncology
Retrospective Studies
Sphincter
Stomach Neoplasms - pathology
Stomach Neoplasms - surgery
Surgery
Surgical Oncology
Treatment Outcome
Tumors
Young Adult
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Summary:Introduction Surgical treatment of gastric submucosal tumors (SMTs) located near the gastroesophageal junction can be technically challenging, especially regarding preservation of the integrity and function of the lower esophageal sphincter. We introduce a novel minimally invasive surgery, successfully performed in a patient with a gastric SMT located at the cardia. A 24-year-old lady presenting with acid reflux for 1 year underwent esophagogastroscopy that showed a gastric SMT located at the cardia. Endoscopic ultrasonography showed a 20×19 mm homogeneous hypoechoic lesion originating from the muscularis propria layer. Transgastric single-incision laparoscopic resection of the tumor was performed. Conclusion Transgastric single-incision laparoscopic resection of gastric SMTs is technically feasible and safe. This presents an alternative surgical choice for resection for gastric SMTs located in difficult regions such as the fundus, cardia, or prepyloric antrum.
ISSN:1068-9265
1534-4681
DOI:10.1245/s10434-022-13096-6