Minimally Invasive Gastric Wedge Resection

  • Sudeep Banerjee
  • Santiago Horgan
  • Jason K. SicklickEmail author


Laparoscopic wedge resection of cancer has become the standard approach for surgical management of benign and malignant gastric tumors. This chapter describes preoperative considerations for determining patient eligibility and surgical approaches to ensure successful execution of minimally invasive gastric wedge resection. Various techniques are described depending on tumor location, and possible complications are discussed.


Laparoscopic wedge resection Non-adenomatous gastric mass Submucosal tumor Gastrointestinal stromal tumor Laparo-endoscopic surgery Gastroesophageal junction tumor 

Supplementary material

Video 5.1

Approaches to minimally invasive resection of gastric tumors: (a) anterior wall wedge resection of GIST, (b) lesser curvature wedge resection of GIST, (c) gastroesophageal junction resection of leiomyoma (MP4 2423933 kb)


  1. 1.
    Chi J-L, Xu M, Zhang M-R, Li Y, Zhou Z-G. Laparoscopic versus open resection for gastric gastrointestinal stromal tumors (GISTs): a size–location-matched case–control study. World J Surg. 2017;41:2345–52. Scholar
  2. 2.
    Koeda K, Nishizuka S, Wakabayashi G. Minimally invasive surgery for gastric cancer: the future standard of care. World J Surg. 2011;35:1469–77. Scholar
  3. 3.
    Yang SY, et al. Surgical outcomes after open, laparoscopic, and robotic gastrectomy for gastric cancer. Ann Surg Oncol. 2017;24:1770–7. Scholar
  4. 4.
    Ye L, et al. Meta-analysis of laparoscopic vs. open resection of gastric gastrointestinal stromal tumors. PLoS One. 2017;12:e0177193. Scholar
  5. 5.
    Ohgami M, et al. Laparoscopic wedge resection of the stomach for early gastric cancer using a lesion-lifting method. Dig Surg. 1994;11:64–7.CrossRefGoogle Scholar
  6. 6.
    Mueller CL, et al. Application of an individualized operative strategy for wedge resection of gastric gastrointestinal stromal tumors: effectiveness for tumors in difficult locations. Surgery. 2016;160:1038–48. Scholar
  7. 7.
    Nguyen NT, et al. Laparoscopic enucleation or wedge resection of benign gastric pathology: analysis of 44 consecutive cases. Am Surg. 2011;77:1390–4.PubMedGoogle Scholar
  8. 8.
    Sicklick JK, Babicky M, DeMatteo RP. Resection of non-adenomatous gastric tumors. In: Jones DB, Schwaitzberg SD, editors. Operative endoscopic and minimally invasive surgery. Abingdon: CRC Press; 2019.Google Scholar
  9. 9.
    Lee S, et al. Oncologic safety of laparoscopic wedge resection with gastrotomy for gastric gastrointestinal stromal tumor: comparison with conventional laparoscopic wedge resection. J Gastric Cancer. 2015;15:231–7.
  10. 10.
    Lee HH, et al. Laparoscopic wedge resection for gastric submucosal tumors: a size-location matched case-control study. J Am Coll Surg. 2011;212:195–9. Scholar
  11. 11.
    Rösch T, et al. Accuracy of endoscopic ultrasonography in upper gastrointestinal submucosal lesions: a prospective multicenter study. Scand J Gastroenterol. 2002;37:856–62.CrossRefGoogle Scholar
  12. 12.
    Conrad C, et al. Laparoscopic intragastric surgery for early gastric cancer and gastrointestinal stromal tumors. Ann Surg Oncol. 2014;21:2620. Scholar
  13. 13.
    Barajas-Gamboa JS, et al. Laparo-endoscopic transgastric resection of gastric submucosal tumors. Surg Endosc. 2015;29:2149–57. Scholar
  14. 14.
    Krenzien F, Pratschke J, Zorron R. Assessment of intragastric single-port surgery for gastric tumors. JAMA Surg. 2017;152:793–4. Scholar
  15. 15.
    Jacobsen GR, et al. Initial experience with an innovative endoscopic clipping system. Surg Technol Int. 2012;22:39–43.PubMedGoogle Scholar
  16. 16.
    Smallwood NR, Fleshman JW, Leeds SG, Burdick JS. The use of endoluminal vacuum (E-Vac) therapy in the management of upper gastrointestinal leaks and perforations. Surg Endosc. 2016;30:2473–80. Scholar

Copyright information

© Springer Nature Switzerland AG 2020

Authors and Affiliations

  • Sudeep Banerjee
    • 1
    • 2
  • Santiago Horgan
    • 3
  • Jason K. Sicklick
    • 2
    Email author
  1. 1.Department of SurgeryUniversity of California, Los AngelesLos AngelesUSA
  2. 2.Department of SurgeryUniversity of California, San DiegoSan DiegoUSA
  3. 3.Department of Surgery, Center for the Future of SurgeryUniversity of California, San DiegoSan DiegoUSA

Personalised recommendations