Ibrahim I M, Silvestri F, Zingler B
Section of Laparoscopy, Department of Surgery, Englewood Hospital and Medical Center, 375 Engle Street, Englewood, NJ 07631, USA.
Surg Endosc. 1997 Mar;11(3):277-9. doi: 10.1007/s004649900343.
Laparoscopic gastric surgery is gaining momentum, especially in the treatment of benign disease. Simultaneous endoscopy and laparoscopy allow precise localization of lesions. Because of the stomach's size, mobility, and distensibility, relatively large lesions can be safely excised. Wedge resection for anterior lesions and a transgastric or intragastric approach for posterior lesions are feasible laparoscopically. Two cases of posterior gastric leiomyomas successfully resected laparoscopically are presented. The use of stapling devices greatly facilitates this procedure.
腹腔镜胃手术正越来越受到关注，尤其是在良性疾病的治疗方面。同时进行内镜检查和腹腔镜检查可实现病变的精确定位。由于胃的大小、可移动性和可扩张性，相对较大的病变也能安全切除。对于前壁病变可行楔形切除术，对于后壁病变可采用经胃或胃内入路进行腹腔镜手术。本文介绍了两例成功通过腹腔镜切除后壁胃平滑肌瘤的病例。吻合器的使用极大地便利了这一手术过程。
