scholarly journals Successful Intracorporeal Suturing Following Laparoscopic Resection of a Large Gastrointestinal Stromal Tumor Located at the Esophagogastric Junction

2015 ◽  
Vol 100 (9-10) ◽  
pp. 1326-1331
Author(s):  
Shingo Kanaji ◽  
Satoshi Suzuki ◽  
Tetsu Nakamura ◽  
Ayako Tomono ◽  
Naoki Urakawa ◽  
...  
Keyword(s):  
Esophagogastric Junction ◽  
Gastric Resection ◽  
Laparoscopic Resection ◽  
Partial Resection ◽  
Intracorporeal Suturing ◽  
Epigastric Discomfort ◽  
Laparoscopic Gastric Resection ◽  
Manual Suturing ◽  
Tomography Scan ◽  
Technical Safety

Laparoscopic partial resection of gastric gastrointestinal stromal tumors (GISTs) ≤5 cm in size is widely performed, whereas that of large GISTs (size >5 cm) is controversial because of oncologic and technical safety. Furthermore, laparoscopic resection of GISTs located at the esophagogastric junction (EGJ) is difficult because of the high risk of narrowing or/and deformity of the EGJ. In the current study we report a case of laparoscopic partial resection of a large GIST located at the EGJ. A 74-year-old female patient visited our institution complaining of epigastric discomfort. An esophagogastroduodenoscopy and an abdominal computed tomography scan revealed a 7.5 × 4.0 cm GIST at the EGJ and upper stomach. The patient underwent laparoscopic partial resection with intracorporeal suturing, without any breakage of the pseudocapsule. The defect of the esophagogastric wall after resection was closed by intracorporeal running suture. The patient's postoperative course was uneventful. To the best of our knowledge, this is the first report of laparoscopic resection of a large GIST located at the EGJ. Our technique of intracorporeal manual suturing following laparoscopic gastric resection can be a valid option for minimally invasive surgery for a large GIST located at the EGJ.

Can Computed Tomographic Gastrography and Multiplanar Reformatting Aid the Laparoscopic Surgeon in Planning a Gastric Resection? A Pictorial Essay

2013 ◽  
Vol 64 (1) ◽  
pp. 28-35
Author(s):  
Arthur H. Zalev ◽  
Teodor Grantcharov ◽  
Wayne Deitel
Keyword(s):  
Esophagogastric Junction ◽  
Gastric Resection ◽  
Preoperative Evaluation ◽  
Subtotal Gastrectomy ◽  
Gastrointestinal Stromal Tumour ◽  
Preoperative Imaging ◽  
Sleeve Resection ◽  
Computed Tomographic ◽  
Laparoscopic Gastric Resection ◽  
Multiplanar Reformatting

Purpose To assess the value and feasibility of computed tomographic gastrography and multiplanar reformatting in the preoperative evaluation of patients undergoing laparoscopic gastric resection. Materials and Methods Fourteen patients with gastric lesions were included in the study. A supine scan was performed after a hypotonic drug, an effervescent agent, and intravenous contrast. This was followed by delayed prone and decubitus scans. We created multiplanar reformats, transparency rendered images, and endoluminal images. The tumours were localized, and distances were measured to the esophagogastric junction and the pylorus. Results Eleven patients underwent resections. Seven had laparoscopic wedge resections for aberrant pancreas (1 patient), carcinoid (1), Castleman disease (1), and gastrointestinal stromal tumours (GISTs) (4). One patient had an open subtotal gastrectomy for carcinoma due to adhesions. One had a hand-assisted sleeve resection for a gastrointestinal stromal tumour. Two had hand-assisted total gastrectomies for carcinoma and a GIST. For surgical planning, the surgeon rated the imaging extremely useful in 7 and useful in 4. Imaging was extremely useful or useful to localize laparoscopically invisible tumours in 6 patients and to relate tumours to the esophagogastric junction or pylorus and to assess localized vs extensive resection in 8. Correlation was excellent between the preoperative imaging and the intraoperative findings. Conclusions Computed tomographic gastrography and multiplanar reformatting are useful aids in preoperative planning of laparoscopic gastric resections.

scholarly journals Successful laparoscopic resection of ovarian abscess caused by Staphylococcus aureus in a 13-year-old girl: a case report and review of literature

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Tsuyoshi Murata ◽  
Yuta Endo ◽  
Shigenori Furukawa ◽  
Atsushi Ono ◽  
Yuichiroh Kiko ◽  
...  
Keyword(s):  
Staphylococcus Aureus ◽  
Adolescent Girls ◽  
Laparoscopic Resection ◽  
Sexually Active ◽  
Fallopian Tubes ◽  
Review Of Literature ◽  
Case Presentation ◽  
Intact Uterus ◽  
Ovarian Abscess ◽  
Tomography Scan

Abstract Background Ovarian abscesses, which occur mostly in sexually active women via recurrent salpingitis, occur rarely in virginal adolescent girls. Here, we present a case of an ovarian abscess in a virginal adolescent girl who was diagnosed and treated by laparoscopy. Case presentation A 13-year-old healthy girl presented with fever lasting for a month without abdominal pain. Computed tomography scan and magnetic resonance imaging indicated a right ovarian abscess. Laparoscopic surgery revealed a right ovarian abscess with intact uterus and fallopian tubes. The abscess was caused by Staphylococcus aureus. The patient recovered completely after excision of the abscess, followed by antibiotic treatment. Conclusions Ovarian abscess may occur in virginal adolescent girls; Staphylococcus aureus, an uncommon species causing ovarian abscess, may cause the infection.

scholarly journals Foregut Duplication Cyst of the Stomach: A Case Report and Review of the Literature

2016 ◽  
Vol 2016 ◽  
pp. 1-4 ◽  
Author(s):  
Y. Tjendra ◽  
K. Lyapichev ◽  
J. Henderson ◽  
C. P. Rojas
Keyword(s):  
Soft Tissue Tumor ◽  
Laparoscopic Resection ◽  
Gastroesophageal Junction ◽  
Duplication Cyst ◽  
First Year ◽  
Review Of The Literature ◽  
Epigastric Discomfort ◽  
Foregut Duplication Cyst ◽  
Abdominal Symptoms ◽  
First Year Of Life

Duplication cyst of the stomach is a rare congenital malformation, typically diagnosed in the first year of life. In most adult cases the cyst remains asymptomatic, but patients may present with abdominal symptoms including epigastric discomfort or pain. We present a case of a 65-year-old male with an asymptomatic gastric tumor diagnosed incidentally during initial workup of his esophageal adenocarcinoma. Computed tomography revealed a low density soft tissue tumor near the gastroesophageal junction. Endoscopic ultrasonography demonstrated a cystic lesion as a hypoechoic round mass with well-defined borders. Following complete laparoscopic resection, microscopic review revealed a cyst lined with respiratory pseudostratified ciliated columnar epithelium and layers of smooth muscle with an outermost thin fibrous capsule consistent with a foregut duplication cyst.

Endoscopically Assisted Transumbilical Single-Incision Laparoscopic Gastric Resection for GIST Treatment

2015 ◽  
Vol 29 (2) ◽  
pp. 98-105 ◽  
Author(s):  
Michail Pitiakoudis ◽  
Petros Zezos ◽  
Georgios Kouklakis ◽  
Christos Tsalikidis ◽  
Konstantinos Romanidis ◽  
...  
Keyword(s):  
Gastric Resection ◽  
Single Incision ◽  
Laparoscopic Gastric Resection

Various fashions of laparoscopic resection for gastrointestinal stromal tumors in esophagogastric junction.

2017 ◽  
Vol 35 (15_suppl) ◽  
pp. e22512-e22512
Author(s):  
Wenjun Xiong ◽  
Wei Wang ◽  
Jin Wan
Keyword(s):  
Laparoscopic Surgery ◽  
Gastrointestinal Stromal Tumors ◽  
Esophagogastric Junction ◽  
Laparoscopic Resection ◽  
Stomach Wall ◽  
Linear Stapler ◽  
Stromal Tumors ◽  
Estimated Blood Loss ◽  
Laparoscopic Proximal Gastrectomy ◽  
The Mean

e22512 Background: Laparoscopic surgery for small (<5 cm) gastric gastrointestinal stromal tumors (GIST) is now widely performed. However, laparoscopic resection of GIST in esophagogastric junction is technically difficult. Herein, we introduce various fashion of laparoscopic resection for small GIST in esophagogastric junction. Methods: Retrospective review of 40 consecutive patients with small GIST in esophagogastric junction who underwent attempted laparoscopic surgery. GIST in esophagogastric junction was defined as that the distance of the upper border of GIST from esophagogastric line was less than 2 cm. Three fashions of laparoscopic resection were performed: fashion A, laparoscopic wedge resection using linear stapler; fashion B, laparoscopic complete resection by opening the stomach wall and the stomach wall incision was closed with suture; fashion C, laparoscopic proximal gastrectomy with pyloroplasty. The data of clinicopathologic characteristics, operative course and short-term outcomes were analyzed. Results: All procedures were finished successfully and no operative relatively complication was recorded. Tumor in 24/40 (60%) patients was located in greater curvature. 70.1% (17/24) of them received fashion A and others (7/24) underwent fashion B. Tumor in 16/40 (40%) patients was located in lesser curvature. 18.8% (3/16) of them underwent fashion C and others (13/16) underwent fashion B. The mean operative time was 97.4±21.3 min and the mean estimated blood loss was 20.5±10.4 ml. The mean first time of flatus was 39.2±10.0 hours and the time of fluid intake was 40.1±11.7 hours. The mean hospital stay was 4.2±1.3 days. The mean diameter of tumor was 2.7±1.0 cm. Conclusions: Laparoscopic surgery for small GIST in esophagogastric junction is safe and feasible. The selection of various laparoscopic resection fashions was according to the tumor location.

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