Pennisi Damiano, Troian Marina, Nagliati Carlo, Balani Alessandro
Department of Surgery, San Giovanni di Dio Hospital, Via Fatebenefratelli 34, 34170, Gorizia, Italy.
Obes Surg. 2020 Nov;30(11):4679-4680. doi: 10.1007/s11695-020-04832-6.
To evaluate feasibility and safety of a totally laparoscopic transgastric resection with concomitant sleeve gastrectomy in a morbidly obese presenting with benign lesion located along the lesser gastric curvature.
We report the case of a morbidly obese patient with an incidental submucosal lesion of the lesser curvature radiologically consistent with fibrolipoma at preoperative work-up. Benign nature of the mass was then confirmed EUS-biopsy.
A combinated laparoscopic transgastric approach was successfully attempted resulting in a complete excision of the submucosal lesion and concomitant sleeve gastrectomy. Intraoperative and definitive histology confirmed the benign nature of the mass. Postoperative course was uneventful.
Concomitant transgastric resection of submucosal benign lesions during laparoscopic sleeve gastrectomy represents both a safe and feasible surgical approach in morbidly obese patients. Preoperative work-up is of great importance in order to assess the benign nature of the lesion.
评估在患有沿胃小弯的良性病变的病态肥胖患者中，完全腹腔镜经胃切除术联合袖状胃切除术的可行性和安全性。
我们报告了一例病态肥胖患者的病例，该患者在术前检查中偶然发现胃小弯处有一个黏膜下病变，经放射学检查与纤维脂肪瘤相符。随后通过超声内镜活检证实了肿块的良性性质。
成功尝试了联合腹腔镜经胃入路，完整切除了黏膜下病变并同时进行了袖状胃切除术。术中及最终组织学检查证实了肿块的良性性质。术后过程顺利。
在腹腔镜袖状胃切除术中同时经胃切除黏膜下良性病变，对病态肥胖患者来说是一种安全可行的手术方法。术前检查对于评估病变的良性性质非常重要。
