PMID: 9449085Feb 4, 1998Paper

Laparoscopic resection of gastric leiomyosarcoma

Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a
D T DempseyM A Dabezies

Abstract

Wedge resection with a normal margin of stomach is generally considered adequate therapy for gastric leiomyosarcoma. We report here four patients with gastric leiomyosarcoma managed laparoscopically. The technique is described. There were no operative complications and all patients have been followed for 7 to 56 months. Three patients are free of disease and one patient with a high grade tumor is alive with liver metastases at 2 yars postoperatively. From this experience we conclude the following: 1) Laparoscopic wedge resection of gastric leiomyosarcoma is straightforward and easily accomplished without violation of standard surgical oncologic principles. 2) Intraoperative endoscopy is helpful in locating and manipulating the tumor, and aids in ensuring lumenal adequacy and staple line integrity. 3) Preoperative localizing studies may be misleading and should not discourage laparoscopic evaluation and treatment.

References

Dec 11, 1992·Journal of Laparoendoscopic Surgery·J J Lukaszczyk, R J Preletz
Aug 1, 1991·Archives of Surgery·C S GrantJ R Goellner
May 1, 1994·Annals of Surgical Oncology·W CarsonM L Palmer
Apr 1, 1995·Journal of Laparoendoscopic Surgery·W G PayneL J Grossbard
Jan 1, 1995·Annals of Surgical Oncology·K C ConlonM F Brennan

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Citations

Jul 10, 2001·Surgical Endoscopy·M Röthlin, O Schöb
Feb 8, 2002·Zhonghua wai ke za zhi [Chinese journal of surgery]·Z KeJ Hua
Jan 22, 2004·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Joo-Ho LeeHyeon Kook Lee
Jun 8, 2013·JSLS : Journal of the Society of Laparoendoscopic Surgeons·Douglas P SlakeyBrett Roberts
Apr 1, 2000·Gastrointestinal Endoscopy·J A OlsonL M Brunt
Jun 12, 2013·Surgical Laparoscopy, Endoscopy & Percutaneous Techniques·Jennifer K HammRoger H Kim

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