Endogastric surgery for gastric diseases--simplifying technical aspects

Area of Science:

• Gastroenterology
• Minimally Invasive Surgery
• Surgical Oncology

Background:

• Minimally invasive surgery is the standard for gastrointestinal diseases.
• Gastric diseases can be treated via an endogastric approach in select patients.
• This approach is suitable for superficial and intramural lesions.

Purpose of the Study:

• To describe endogastric surgery techniques for gastric diseases.
• To highlight the efficacy of endogastric mucosectomy and stapled wedge resection.
• To present endogastric surgery as a viable alternative to traditional methods.

Main Methods:

• Endogastric mucosectomy for superficial lesions (e.g., early gastric cancer).
• Stapled wedge resection for intramural lesions (e.g., gastric stromal tumors).
• Utilizes standard laparoscopic instrumentation and basic skills.

Main Results:

• Endogastric surgery provides a simple and radical treatment option.
• The described techniques are effective for specific gastric conditions.
• The approach requires minimal specialized equipment.

Conclusions:

• Endogastric surgery is a promising approach for managing selected gastric diseases.
• The techniques are safe, effective, and require basic laparoscopic skills.
• Widespread adoption of endogastric surgery is anticipated for initial gastric disease management.