Taniguchi E, Kamiike W, Yamanishi H, Ito T, Nezu R, Nishida T, Momiyama T, Ohashi S, Okada T, Matsuda H
First Department of Surgery, Osaka University Medical School, 2-2 Yamada-Oka, Suita, 565, Japan.
Surg Endosc. 1997 Mar;11(3):287-9. doi: 10.1007/s004649900347.
Laparoscopic intragastric surgery (LIGS) was performed on a 63-year-old man with a gastric leiomyoma adjacent to the cardia. Because the tumor was about 5 cm in maximum diameter and showed ulceration, the possibility that the tumor was a leiomyosarcoma could not be ruled out preoperatively. Conventionally, major surgery has been performed on patients with a tumor located near the cardia, although it was not always malignant. Enucleation by LIGS enabled us to avoid excessive invasiveness and provided a favorable result. LIGS may be an appropriate new, minimally-invasive operation for gastric myogenic tumors and should be considered for such cases.
对一名63岁患有贲门旁胃平滑肌瘤的男性患者实施了腹腔镜胃内手术（LIGS）。由于肿瘤最大直径约5 cm且有溃疡形成，术前不能排除肿瘤为平滑肌肉瘤的可能性。按照传统做法，对于位于贲门附近的肿瘤患者，即便不一定是恶性肿瘤，也一直实施大手术。通过LIGS进行摘除使我们能够避免过度的侵袭性，并取得了良好的效果。LIGS可能是一种适用于胃肌源性肿瘤的新型微创手术，对于此类病例应予以考虑。
