Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2007 Jan-Mar;11(1):81-6.

Laparoscopic resection for benign tumors of the stomach

Chinnusamy Palanivelu  1 , Muthukumaran Rangarajan, Ramakrishnan Parthasarathi, Rangaswamy Senthilkumar
Affiliations

Laparoscopic resection for benign tumors of the stomach

Chinnusamy Palanivelu et al. JSLS. 2007 Jan-Mar.

Abstract

Background: Of all gastric tumors, less than 5% are benign. The traditional treatment of symptomatic and some asymptomatic benign tumors has ranged from mucosal resection to limited gastrectomy. Since the advent of laparoscopy, many different laparoscopic approaches to resection of benign gastric tumors have now been described in the literature.

Methods: We reviewed our experience with laparoscopic approaches to surgical resection of 7 benign gastric tumors. The tumor locations were the body (posterior wall), 3 cases; body (anterior wall), 1 case; lesser curvature, 1 case; fundus, 1 case, and antrum, 1 case. Laparoscopic wedge resection was done in 6 cases. The seventh patient underwent a Billroth I procedure because he had leiomyoma at the antrum. There was no conversion to laparotomy.

Results: The mean operative time was 105+/-15 minutes, and mean blood loss was 50+/-15 mL. The mean length of hospital stay was 5 days. There were no complications or mortalities. Tumor size ranged from 2 cm to 6 cm in the greatest diameter. There has been no tumor recurrence with a mean follow-up of 26 months.

Discussion: Laparoscopic approach is slowly carving a niche for itself in the treatment of benign tumors of the stomach. The basic principles are obtaining a precise preoperative pathological diagnosis; accurate tumor localization; achievement of tumor-free margins; avoidance of spillage of stomach contents, careful dissection of tumors in the esophagogastric junction, and preventing tumor seeding.

Conclusion: Based on ours and other studies, laparoscopic resection of benign gastric tumors is safe and feasible.

PubMed Disclaimer

Figures

Figure 1.
Figure 1.
Tumor located in the lesser curvature, near the esophagogastric junction.
Figure 2.
Figure 2.
Dissection of the left gastric pedicle.
Figure 3.
Figure 3.
Stapler is applied.
Figure 4.
Figure 4.
Wedge resection being done.
Figure 5.
Figure 5.
A layer of seromuscular sutures over the staple line with 2 0 Vicryl.
Figure 6.
Figure 6.
Tumor of the antrum.
Figure 7.
Figure 7.
Resection with the stapler.
Figure 8.
Figure 8.
Gastroduodenostomy being done (Billroth I).
Figure 9.
Figure 9.
Completed anastomosis.
Figure 10.
Figure 10.
Retrieval of specimen in a nonpermeable bag.
See this image and copyright information in PMC

References

    1. DeMatteo RP, Lewis JJ, Leung D, Mudan SS, Woodruff JM, Brennan MF. Two hundred gastrointestinal stromal tumors: recurrence patterns and prognostic factors for survival. Ann Surg. 2000;231:51–58 - PMC - PubMed
    1. Cheng HL, Lee WJ, Lai IR, Yuan RH, Yu SC. Laparoscopic wedge resection of benign gastric tumor. Hepatogastroenterology. 1999;46:2100–2104 - PubMed
    1. Cugat E, Hoyuela C, Rodriguez-Santiago JM, Marco C. Laparoscopic ultrasound guidance for laparoscopic resection of benign gastric tumors. J Laparoendosc Adv Surg Tech A. 1999;9(1):63–67 - PubMed
    1. Nobuhiro M, Akihiko S, Kazuhisa K, et al. Laparoscopic transgastric tumor-everting resection of the gastric submucosal tumor located near the esophagogastric junction. Surg Laparosc Endosc Percutan Tech. 2004;14(6):344–348 - PubMed
    1. Choi YB, Oh ST. Laparoscopy in the management of gastric submucosal tumors. Surg Endosc. 2000;14:741–745 - PubMed

LinkOut - more resources