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Application of laparoscopic techniques for resection of individual gastric submucosal tumors

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Application of laparoscopic techniques for

resection of individual gastric submucosal

tumors

吳志雄

Li CJ;Huang MT;Chen CS;Tam KW;Chai CY;Wu CH

摘要

Abstract

Large gastric submucosal tumors should be excised to prevent ischemic

mucosal ulceration of the overlying surface and central necrosis of the neoplasm, which may in turn lead to massive hemorrhage. Large tumors near the

esophagocardiac junction or on the posterior wall are usually resected by an open procedure. We describe 2 cases of upper gastrointestinal tract bleeding owing to huge submucosal tumors in the posterior gastric high body treated by laparoscopic resection of the gastric tumors. These 2 patients recovered smoothly without major or minor complications. We emphasize that design of specific strategies for individual tumors is essential for the successful

laparoscopic resection of tumors adjacent to the esophagocardiac junction and large tumors on the posterior wall.

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