Cuesta M A, Eijsbouts Q A, Felt-Bersma R J, van den Berg M
Department of Surgery, Vrije Universiteit Hospital, Amsterdam, The Netherlands.
Surg Laparosc Endosc. 1998 Aug;8(4):322-3.
Transgastric endoluminal surgery is a laparoscopic procedure used to treat gastric lesions such as polyps and carcinoma in situ. This approach can also be used to treat proximal duodenal problems such as bleeding and polyps. Our case was a young patient with bleeding from a benign duodenal polyp, localized 3 cm from the papilla of Vater. Two trocars were introduced by laparoscopy into the stomach. Guided by the flexible gastroscope, the polyp (a 6-cm Brunner's benign hamartoma) was resected by means of the endostaplers. Transgastric endoluminal surgery can be used to extirpate benign lesions in the proximal duodenum. The use of a flexible gastroscope can be very useful because of its adaptability to the anatomy.
经胃腔内手术是一种用于治疗胃病变（如息肉和原位癌）的腹腔镜手术。这种方法也可用于治疗十二指肠近端问题，如出血和息肉。我们的病例是一位年轻患者，患有距 Vater 壶腹 3 cm 处的良性十二指肠息肉出血。通过腹腔镜将两个套管针插入胃内。在可弯曲胃镜的引导下，使用腔内吻合器切除息肉（一个 6 cm 的布伦纳氏良性错构瘤）。经胃腔内手术可用于切除十二指肠近端的良性病变。可弯曲胃镜因其对解剖结构的适应性而非常有用。
