Open Access Case Report

Endoscopically assisted laparoscopic local resection of gastric tumor

Christoforos Kosmidis1*, Christoforos Efthimiadis1, Georgios Anthimidis1, Kalliopi Vasileiadou1, Thomas Stavrakis2, Georgia Ioannidou3 and Georgios Basdanis13

Author Affiliations

1 Department of Surgery, Interbalkan European Medical Center, 10 Asklipiou street, Thessaloniki, Pylaia 57001, Greece

2 Department of Obstetrics, Interbalkan European Medical Center, Thessaloniki, Greece

3 Department of Radiology, “Agios Pavlos” General Hospital, 161 Ethnikis Antistaseos street, Thessaloniki 55134, Greece

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BMC Research Notes 2013, 6:410  doi:10.1186/1756-0500-6-410

Published: 12 October 2013

Abstract

Background

Minimally invasive procedures have been applied in treatment of gastric submucosal tumors. Currently, combined laparoscopic - endoscopic rendezvous resection (CLERR) emerges as a new technique which further reduces operative invasiveness.

Case presentation

A-57-year-old female patient presented with epigastric pain. She was submitted to gastroscopy, which revealed a tumor located at the angle of His. Biopsy specimens demonstrated a leiomyoma. The patient underwent endoscopically assisted laparoscopic resection of the tumor. The operative time was 45 minutes. Diagnosis of leiomyoma was confirmed by the final histopathological examination. The patient had an uneventful postoperative recovery and was discharged on the 2nd postoperative day.

Conclusion

Combined laparoscopic and endoscopic rendezvous resection appears as a promising alternative minimally invasive technique. It offers easy recognition of the tumor, regardless of location, safe dissection, and full thickness resection with adequate margins as well as less operative time.

Keywords:
Laparoscopic; Endoscopic; Rendezvous; Tumor; Gastric; Resection