Laparoscopic Trans-gastric Resection of Lesser Curvature Gist

Mahmoud Abu Gazala, MD, Abed Khalaileh, MD, Yael Kopelman, MD, Harold Jacob, MD, Ram Elazary, MD, Avraham I Rivkind, MD, Yoav Mintz, MD. Hadassah Hebrew University Medical Center


We present a case of a 65 year old male with a 2.5cm GIST in the lesser curvature of the stomach.

In our previous experience of laparoscopic wedge resections in this area the patients tended to have a long post operative course with non functioning stomach necessitating prolonged NGT drainage and feeding tube for nutrition. Therefore in this case we elected to perform an inverted wedge resection, thereby decreasing the stomach surface removal to a minimum. In this procedure, two trocars were inserted into the stomach fundus and antrum, the tumor was grasped and resected with sufficient underlying tissue within the resection margins.

This technique is shown to be feasible and a valid option for such tumors, allowing for minimal but sufficient resection of normal gastric tissue surrounding the tumor.

Session Number: SS21 – Videos: Solid Organ & Foregut
Program Number: V039

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