Surgical Endoscopy

, Volume 10, Issue 6, pp 662–665 | Cite as

Laparoscopic resection of gastric leiomyoblastoma

  • N. Di Lorenzo
  • G. S. Sica
  • A. L. Gaspari
Case Reports


Smooth muscle gastric tumors represent 2% of resected neoplasms of the stomach. Clinically, they are often silent and incidentally found at endoscopy or radiologic examination. These tumors can be histologically classified as benign (leiomyoma) or malignant (leiomyoblastoma), but clinical behavior is not strictly related to this classification. When symptomatic, they are present with anemia in 50% of cases due to mucosal ulceration. Surgical removal of the tumor is the accepted therapy, leaving a margin of surrounding free tissue: this treatment can be performed by laparoscopy, usefully associated with gastroscopy. We present one case of a patient with severe anemia due to bleeding from an ulcerated leiomyoblastoma 5 cm in diameter that we resected with combined gastroscopic-laparoscopic technique. We isolated the portion of gastric wall where the mass was located and resected the specimen under gastroscopic control. The postoperative period was uneventful, and the patient recovered promptly with minimal pain and discomfort.

Key words

Laparoscopy Video surgery Leiomyoblastoma Gastric neoplasm 


Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.


  1. 1.
    Akwari OE (1991) Benign tumors of the stomach. In: Sabiston DC (ed) Texbook of surgery. WB Saunders, Philadelphia, pp 787–794Google Scholar
  2. 2.
    Appleman HD, Helving EB (1976) Gastric epithelioid leiomyoma and leiomyosarcoma (leiomyoblastoma). Cancer 38: 708–728Google Scholar
  3. 3.
    Cuilleret J, Baril A, Boucheron S, Pichon A, Serpantie P (1984): La traide de Carney. Presse Med 13: 79–82Google Scholar
  4. 4.
    Firouz Abadie M, Sodji M, Adami M, de brux J (1992) Lèiomyome gastrique. A propos de deux cas et revue de la litterature. J Chir 129(11): 514–516Google Scholar
  5. 5.
    Golden J, Stout AP (1941) Smooth muscle tumors of the gastrointestinal tract and retroperitoneal tissues. Surg Gynecol Obstet 73(6): 784–810Google Scholar
  6. 6.
    Lavin P, Hajdu, Foote W (1972) Gastric and exogastric leiomyoblastomas. Clinicopathologic study of 44 cases. Cancer 29: 305–311Google Scholar
  7. 7.
    Llorente J (1994) Laparoscopic gastric resection for gastric leiomyoma. Surg Endosc 8: 887–889Google Scholar
  8. 8.
    Lukaszczyk JJ, Preletz RY (1993) Laparoscopic resection of benign stromal tumor of the stomach. J Laparoendosc Surg 2(6): 331–334Google Scholar
  9. 9.
    Payne WG, Murphy CG, Grossbard LJ (1995) Combined laparoscopic and endoscopic approach to resection of gastric leiomyoma. J Laparoendosc Surg 5(2): 119–122Google Scholar
  10. 10.
    Residori C, Tedesco A, Tegani GP, Frattini P, Sestili F (1990) II leiomioblastoma gastrico. Minerva Chir 45(1–2): 107–109Google Scholar
  11. 11.
    Saul SH, Rast ML, Brooks JJ (1987) Immunohistochemistry of gastrointestinal stromal tumors. Evidence supporting an origin from smooth muscle. Am J Surg Pathol 7: 464–473Google Scholar
  12. 12.
    Schoenbaum SW, Sprayregen S, Kron ES, Siegelman SS (1973) Angiographic demonstration of bleeding gastric leiomyoma. AJR Am J Roentgenol 119: 277–279Google Scholar
  13. 13.
    Seeman WR, Wimmer B, Schoeffel U, Genz T, Brambs HJ (1985) Computed tomographic findings in myogenic gastric tumours. Hepatogastroenterology 32: 202–205Google Scholar
  14. 14.
    Stavorosky M, Mora GB, Stavoroski H, Papo J (1983) Smooth muscle tumors of the alimentary tract. J Surg Oncol 22: 109Google Scholar
  15. 15.
    Van Steembergen W, Kjima T, Geboes K, Desmet V, Marchal G, Baert A, Fevery J, De Grote J (1985) Gastric leiomyoblastoma with metastases to the liver. A 30 years follow-up study. Gastroenterology 89: 875–881Google Scholar
  16. 16.
    Wolf JS (1986) Massive leiomyoblastoma of the stomach. Arch Surg 86: 284Google Scholar
  17. 17.
    Yamashita Y, Bakki F, Kakegawa T, Umetani H, Yatsuka K (1995) Two laparoscopic techniques for resection of leiomyoma in the stomach. Surg Laparosc Endosc 5(1): 38–42Google Scholar

Copyright information

© Springer-Verlag New York Inc 1996

Authors and Affiliations

  • N. Di Lorenzo
    • 1
  • G. S. Sica
    • 1
  • A. L. Gaspari
    • 1
  1. 1.Cattedra di Chirurgia GeneraleUniversita' Tor Vergata-Roma V.O. RaimondoRomaItaly

Personalised recommendations