Topete-Gonzalez Luis Alberto, Franklin Morris E, Balli-Martinez Jorge Ernesto, Lammel-Lindemann Jan, Perez-Banuet-Farell Sofia, Valles-Guerra Orestes, Flores-Villalba Eduardo
Escuela Nacional de Medicina (National School of Medicine), Tecnologico de Monterrey (Monterrey Tech), Monterrey, Nuevo Leon, Mexico.
Texas Endosurgery Institute, San Antonio, TX, USA.
J Minim Access Surg. 2017 Oct-Dec;13(4):269-272. doi: 10.4103/jmas.JMAS_15_17.
Endoscopy has developed rapidly, generating new challenges. Today, there are several procedures done endoscopically with very good results. In the past, the assisted laparoscopic colon polypectomy has been described, reducing the morbidity of a bigger procedure. Nonetheless, little has been said about the use of hybrid surgery in the management of gastric or duodenal polyps.
Evaluating the safety and efficacy of the assisted laparoscopic gastric endoscopic polypectomy.
A retrospective review of the database at our two centres was performed from 1996 to 2014. Thirteen patients were found in whom an assisted laparoscopic gastric or duodenal endoscopic tumour resection was performed.
Thirteen patients, eight males and five females, with a median age of 61 years and average body mass index of 29.3. The procedure was done effectively and no need for further procedures was required for any patient. No complications were reported in the early post-operative period.
The study shows that assisted laparoscopic gastric endoscopic polypectomy is a feasible and safe procedure that can be used for the management of giant polyps, which cannot be resected with the classical endoscopic polypectomy reducing the morbidity and complications associated with larger procedures.
内镜检查发展迅速，带来了新的挑战。如今，有几种内镜下操作取得了很好的效果。过去，已描述过辅助腹腔镜结肠息肉切除术，可降低大型手术的发病率。然而，关于混合手术在胃或十二指肠息肉治疗中的应用却鲜有提及。
评估辅助腹腔镜胃内镜息肉切除术的安全性和有效性。
对我们两个中心1996年至2014年的数据库进行回顾性分析。发现13例患者接受了辅助腹腔镜胃或十二指肠内镜肿瘤切除术。
13例患者，8例男性，5例女性，中位年龄61岁，平均体重指数29.3。手术有效完成，所有患者均无需进一步手术。术后早期无并发症报告。
该研究表明，辅助腹腔镜胃内镜息肉切除术是一种可行且安全的手术，可用于治疗无法通过经典内镜息肉切除术切除的巨大息肉，降低了与大型手术相关的发病率和并发症。
