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LAPAROENDOSCOPIC TRANSGASTRIC RESECTION OF SUBEPITHELIAL JUXTACARDIAC TUMORS
Luiz Gustavo DE-Quadros1,2,3, Roberto Luiz Kaiser-Junior1,2, Josemberg Marins Campos4
1Kaiser Clinic and Hospital, Endoscopy, São José do Rio Preto, SP, Brazil.
Summary
This study shows that combining endoscopy and videolaparoscopy is a safe and effective surgical technique for resecting subepithelial juxtacardic lesions. This minimally invasive approach offers good patient recovery and aids in definitive tumor diagnosis.
Area of Science:
- Gastroenterology
- Surgical Oncology
- Minimally Invasive Surgery
Background:
- Subepithelial lesions of the upper digestive tract affect 0.4-3.5% of patients undergoing endoscopic procedures.
- Treatment decisions for these lesions rely on etiological and pathophysiological data, diagnostic accuracy, and available technical resources.
Observation:
- A novel surgical technique combining endoscopy and videolaparoscopy was developed for transgastric resection of juxtacardiac subepithelial lesions.
- This approach was successfully applied in two cases, involving videolaparoendoscopic resection of posterior wall gastric tumors near the cardia.
Findings:
- The combined technique allowed for precise demarcation of surgical margins and visualization for laparoscopic instruments.
- Intragastric access, tumor resection, and closure were effectively managed via laparoscopy.
- Both patients experienced good recovery with short hospital stays and no complications, confirming initial endoscopic diagnoses.
Implications:
- The combined videolaparoscopy and endoscopy technique is a safe and effective method for transgastric resection of juxtacardiac subepithelial lesions.
- This approach may prove crucial for achieving a definitive diagnosis of gastric tumors.
