Abstract
In order to elucidate the efficacy in gastric surgery, we evaluated seven resected cases of a submucosal gastric tumor in which laparoscopic techniques were used. The patients consisted of 1 man and 6 women. The tumors were located in the upper, middle, and lower third of the stomach in 4, 1, and 2 cases, respectively. Three tumors were located mainly on the anterior gastric wall, 2 were on the posterior wall, and 2 were on the lesser curvature. The resected tumor size averaged 3.2×2.6 cm. The tumors were classified as intraluminal type (4 cases) and the extraluminal type (3 cases) according to the classification of growth type. A histopathological examination identified 4 leiomyomas, 1 leiomyosarcoma, and 4 smooth muscle tumors of indeterminate malignant potential. After a tumor resection, no recurrence of the lesions occurred during the postoperative follow-up. An extraluminal growing tumor was easily resected by the laparoscopic method without any additional procedures, and this therefore seemed to be a good indication for the laparoscopic method. In contrast, an intraluminal tumor was found to be more difficult to resect using the laparoscopic method without a companion method, e.g., intraoperative endoscopy, because of the difficulties in the detection and resection of the tumor from the serosal side. A more efficient technique must therefore be developed for this type of tumor.
Similar content being viewed by others
References
Cuschieri A, Berci G, McSherry CK (1990) Laparoscopic cholecystectomy. Am J Surg 159:273
Soper NJ, Stockmann PT, Dunnegan DL, Ashley SW (1992) Laparoscopic cholecystectomy: the new “gold standard”? Arch Surg 127:917–921
Pier A, Gotz F, Bacher C, Ibald R (1993) Laparoscopic appendectomy. World J Surg 17:29–33
Philips EH, Franklin M, Carroll BJ, Falles MJ, Ramos R, Rosenthal D (1992) Laparoscopic colectomy. Ann Surg 216:703–707
Goh P, Tekant Y, Isaac J, Kum CK, Ngoi SS (1992) The technique of laparoscopic Billroth II gastrectomy. Surg Laparosc Endosc 2:258–269
Reddick JR, Olsen DO (1989) Laparoscopic cholecystectomy. Surg Endosc 3:131–133
Skandalakis JE, Gray SW, Shepard D (1964) Smooth muscle tumors of the small intestine. Am J Gastroenterol 42:172–190
Sasako M, Kinoshita T, Maruyama K, Okabayashi K, Itabashi M, Hirota T (1989) Surgical treatment for gastric leiomyosarcoma-clinicopathological study of 51 resected cases. Jpn J Gastroenterol Surg 22:2212–2216
Grant CS, Kim CH, Farrugia G, Zinsmeister A, Goellner JR (1991) Gastric leiomyosarcoma-prognostic factors and surgical management. Arch Surg 126:985–990
Lukaszczyk JJ, Preletz RJ (1992) Laparoscopic resection of benign stromal tumor of the stomach. J Laparoendosc Surg 2:331–334
Yamashita Y, Bekki F, Kakegawa T, Umetani H, Yatsuka K (1995) Two laparoscopic techniques for resection of leiomyoma in the stomach. Surg Laparosc Endosc 5:38–42
Motson RW, Fisher PW, Dawson JW (1995) Laparoscopic resection of a benign intragastric stromal tumour. Br J Surg 82:1670
Llorente J (1994) Laparoscopic gastric resection for gastric leiomyoma. Surg Endosc 8:887–889
Japanese Research Society for Gastric Cancer (1981) The general rules for the gastric cancer study in surgery and pathology. Jpn J Surg 11:127–139
Asaki S, Hamada S, Yamaguchi N, Nishimura T, Ohara S, Kimpara T (1991) Is endoscopic treatment necessary for gastric submucosal tumors?— from the internist’s viewpoint. Gastroenterol Endosc 3:977–983
Watson DI, Game PA, Devitt PG (1996) Laparoscopic resection of benign tumors of the posterior gastric wall. Surg Endosc 10:540–541
Sasagawa T, Suzuki H, Kitamura Y, Oguma H, Ishizuka N, Endo A, Suzuki S, Takasaki K (1995) Laparoscopic wedge resection of the stomach for submucosal tumor. Dig Endosc 7:271–277
Payne WG, Murphy CG, Grossbard LJ (1995) Combined laparoscopic and endoscopic approach to resection of gastric leiomyoma. J Laparoendosc Surg 5:119–122
Spinelli P, Cerrai FG, Cambareri AR, Meroni E, Pizzetti P (1993) Two-step endoscopic resection of gastric leiomyomas. Surg Endosc 7:90–92
Ohgami M, Kumai K, Otani Y, Wakabayashi G, Kubota T, Kitajima M (1994) Laparoscopic wedge resection of the stomach for early gastric cancer using a lesion-lifting method. Dis Surg 11:64–67
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Aogi, K., Hirai, T., Mukaida, H. et al. Laparoscopic resection of submucosal gastric tumors. Surg Today 29, 102–106 (1999). https://doi.org/10.1007/BF02482232
Received:
Accepted:
Issue Date:
DOI: https://doi.org/10.1007/BF02482232