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Laparoscopic resection of bleeding gastric polyps
1Department of Surgery, Pamela Youde Nethersole Eastern Hospital, 3 Lok Man Road, Chai Wan, Hong Kong.
Surgical Endoscopy
|March 1, 1997
Summary
Laparoscopic resection is a viable treatment for bleeding gastric polyps when endoscopic removal is not possible. This minimally invasive approach offers a safe and effective alternative for large or complex gastric lesions.
Area of Science:
- Gastroenterology
- Surgical Oncology
- Minimally Invasive Surgery
Background:
- Gastric polyps are uncommon neoplasms, frequently presenting with bleeding.
- Endoscopic polypectomy is the standard treatment but often fails for large or intramural polyps.
- Surgical excision via laparotomy is typically required for complex cases.
Observation:
- Four female patients (aged 40-78) with large (2-6 cm) bleeding gastric polyps underwent laparoscopic resection.
- One patient required emergency surgery due to active bleeding; others had elective procedures.
- Surgical procedures ranged from 90 to 120 minutes.
Findings:
- No perioperative morbidity or mortality was observed.
- Patients resumed a full diet by postoperative day 4.
- The average postoperative hospital stay was 5.3 days.
Implications:
- Laparoscopic resection of gastric polyps is a safe and effective alternative when endoscopic treatment is unsuccessful.
- This minimally invasive technique can be considered for large and intramural gastric polyps.
- It offers a reduced hospital stay and faster recovery compared to traditional laparotomy.