Seelig M H, Hinder R A, Floch N R, Klingler P J, Seelig S K, Branton S A, Woodward T A
Department of Surgery, Mayo Clinic Jacksonville, Florida 32224, USA.
Surg Laparosc Endosc. 1999 Jan;9(1):78-81.
Various techniques have been reported for the laparoscopic treatment of benign gastric lesions, depending on the site of the lesion. Recently, a new technique of endo-organ gastric surgery has been developed that is particular useful for the treatment of lesions on the posterior gastric wall. We report on two patients with submucosal gastric tumors. A 79-year-old man was found to have a submucosal tumor near the esophagogastric junction in the posterior wall of the stomach. Endosonography suggested that the tumor was a gastric leiomyoma. Under endoscopic guidance, three ports were inserted into the stomach and the tumor could be successfully enucleated. A 78-year-old woman was found to have a 2 x 1-cm submucosal tumor at the anterior wall of the antrum. The tumor was successfully removed by laparoscopic gastrotomy and resection. The various laparoscopic techniques for the treatment of gastric lesions are discussed.
根据病变部位，已有多种腹腔镜治疗良性胃病变的技术被报道。最近，一种新的内镜下胃内手术技术被开发出来，该技术对治疗胃后壁病变特别有用。我们报告了两名患有胃黏膜下肿瘤的患者。一名79岁男性被发现胃后壁食管胃交界处附近有一个黏膜下肿瘤。超声内镜检查提示该肿瘤为胃平滑肌瘤。在内镜引导下，三个端口被插入胃内，肿瘤得以成功摘除。一名78岁女性被发现胃窦前壁有一个2×1厘米的黏膜下肿瘤。该肿瘤通过腹腔镜胃切开术和切除术成功切除。文中讨论了各种用于治疗胃病变的腹腔镜技术。
