Case Report


Management of submucosal posterior gastric GIST by endoscopic assisted laparoscopic wedge gastrectomy - A modification of classical laparoscopic and endoscopic cooperative surgery (LECS)

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1 Department of surgical gastroenterology, Madras Medical College, Chennai, India

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J M V Amarjothi

Department of Surgical Gastroenterology, Madras Medical College, Chennai, 600003,

India

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Article ID: 100035S05JA2019

doi: 10.5348/100035S05JA2019CR

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How to cite this article

Amarjothi JMV, Villalan R, Jeyasudhahar J, Babu OLN. Management of submucosal posterior gastric GIST by endoscopic assisted laparoscopic wedge gastrectomy - A modification of classical laparoscopic and endoscopic cooperative surgery. Edorium J Surg 2019;6:100035S05JA2019.

ABSTRACT


Laparoscopy and endoscopy can be used in tandem for tumors in difficult locations like submucosal gastrointestinal stromal tumor (GIST) in the posterior wall of the stomach. This combined approach ensures accurate localization of the tumors resulting in negative margins which would be much difficult to obtain by conventional laparoscopic approach alone. Endoscopic localization of tumor helps not only in accurate localization but also in observing for staple line integrity. The aim of the article is to show the use of both techniques in the management of submucosal GIST in a difficult location like posterior gastric wall.

Keywords: Combined Surgery, Endoscopy, Submucosal GIST

SUPPORTING INFORMATION


Author Contributions: Guaranter of Submission

The corresponding author is the guarantor of submission.

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Consent Statement

Written informed consent was obtained from the patient for publication of this article.

Data Availability

All relevant data are within the paper and its Supporting Information files.

Conflict of Interest

Authors declare no conflict of interest.

Copyright

© 2019 J M V Amarjothi et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.