内容紹介
Summary
We performed laparoscopic partial resection of the stomach with a trans-gastric wall approach for submucosal tumors. Case 1: A 67-year-old woman was referred to our hospital because of tarry stool. Upper gastrointestinal endoscopy revealed a well demarcated, round, 45 mm intraluminal-type submucosal tumor with delle on the anterior wall of the gastric upper body. Case 2: An 86-year-old woman was referred to our hospital because of anemia. Upper gastrointestinal endoscopy revealed a well demarcated, round, 25 mm intraluminal-type submucosal tumor on the posterior wall of the gastric upper body. Laparoscopic partial resection of the stomach with a trans-gastric wall approach was performed. The operation times were 58 minutes and 73 minutes, respectively, and blood loss was low in both cases. This operative procedure is safe and easy and allows for resection resected with a direct view for surgeons without endoscopists.
要旨
内腔発育型の胃粘膜下腫瘍に対し,経胃壁アプローチによる腹腔鏡下胃部分切除術(胃内手術)を施行した2例を報告する。症例1は67歳,女性。上部消化管内視鏡検査にて胃体上部前壁にdelleを伴う45 mm大の内腔発育型の胃粘膜下腫瘍を認めた。症例2は86歳,女性。上部消化管内視鏡検査にて胃体上部後壁に25 mm大の内腔発育型の胃粘膜下腫瘍を認めた。手術は切開した胃前壁から胃内へ直接アプローチし,自動縫合器にて切離し摘出した。手術時間は症例1 58分,症例2が73分で,出血量は2例とも少量であった。胃内手術は内視鏡手技が必要なく,直接視認しながら自動縫合器で切離できるため簡便かつ安全に施行可能であった。
目次
We performed laparoscopic partial resection of the stomach with a trans-gastric wall approach for submucosal tumors. Case 1: A 67-year-old woman was referred to our hospital because of tarry stool. Upper gastrointestinal endoscopy revealed a well demarcated, round, 45 mm intraluminal-type submucosal tumor with delle on the anterior wall of the gastric upper body. Case 2: An 86-year-old woman was referred to our hospital because of anemia. Upper gastrointestinal endoscopy revealed a well demarcated, round, 25 mm intraluminal-type submucosal tumor on the posterior wall of the gastric upper body. Laparoscopic partial resection of the stomach with a trans-gastric wall approach was performed. The operation times were 58 minutes and 73 minutes, respectively, and blood loss was low in both cases. This operative procedure is safe and easy and allows for resection resected with a direct view for surgeons without endoscopists.
要旨
内腔発育型の胃粘膜下腫瘍に対し,経胃壁アプローチによる腹腔鏡下胃部分切除術(胃内手術)を施行した2例を報告する。症例1は67歳,女性。上部消化管内視鏡検査にて胃体上部前壁にdelleを伴う45 mm大の内腔発育型の胃粘膜下腫瘍を認めた。症例2は86歳,女性。上部消化管内視鏡検査にて胃体上部後壁に25 mm大の内腔発育型の胃粘膜下腫瘍を認めた。手術は切開した胃前壁から胃内へ直接アプローチし,自動縫合器にて切離し摘出した。手術時間は症例1 58分,症例2が73分で,出血量は2例とも少量であった。胃内手術は内視鏡手技が必要なく,直接視認しながら自動縫合器で切離できるため簡便かつ安全に施行可能であった。