Ohashi S
Department of Surgery, Takarazuka City Hospital, Hyogo, Japan.
Surg Endosc. 1995 Feb;9(2):169-71. doi: 10.1007/BF00191960.
A new laparoscopic operation for the treatment of mucosal or submucosal gastric lesions has been designed and performed on eight patients. In this procedure, all three trocars are placed in the gastric lumen, penetrating both the abdominal and stomach walls in order to perform a laparoscopic removal of gastric lesions. The operation is then carried out in the gastric lumen with currently available laparoscopic instruments and laparoscopic monitoring. The procedure is easy, safe, and feasible for mucosal or submucosal lesions of the stomach which cannot be treated by gastrofiberscopic technique. In this series, 6 patients with early gastric cancer, 1 with a submucosal leiomyoma, and 1 with giant polyp of the stomach were treated without complications. Since this technique is based on a new concept in laparoscopic surgery, the author has named this intraluminal operation "laparoscopic intragastric surgery."
一种用于治疗胃黏膜或黏膜下病变的新型腹腔镜手术已被设计出来，并应用于8例患者。在该手术过程中，所有三个套管针均置于胃腔内，穿透腹壁和胃壁，以便通过腹腔镜切除胃病变。然后使用现有的腹腔镜器械和腹腔镜监测设备在胃腔内进行手术。对于无法通过纤维胃镜技术治疗的胃黏膜或黏膜下病变，该手术操作简便、安全且可行。在这组病例中，6例早期胃癌患者、1例胃黏膜下平滑肌瘤患者和1例胃巨大息肉患者接受了治疗，均未出现并发症。由于该技术基于腹腔镜手术的新概念，作者将这种腔内手术命名为“腹腔镜胃内手术”。
