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LAPAROENDOSCOPIC TRANSGASTRIC RESECTION OF SUBEPITHELIAL JUXTACARDIAC TUMORS

BACKGROUND: With a prevalence of 0.4-3.5%, subepithelial lesions of the upper digestive tract are discovered during endoscopic procedures. Treatment depends on etiological and pathophysiological information, ability to diagnose and the different technical resources available. AIM: To demonstrate the...

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Autores principales: DE-QUADROS, Luiz Gustavo, KAISER-JUNIOR, Roberto Luiz, CAMPOS, Josemberg Marins, FELIX, Valter Nilton, FLAMINI-JÚNIOR, Mário, VECCHI, Maurício, Teixeira, André, DE-SANTANA, Marcelo Falcão, ZOTARELLI-FILHO, Idiberto José
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Colégio Brasileiro de Cirurgia Digestiva 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5543795/
https://www.ncbi.nlm.nih.gov/pubmed/29257852
http://dx.doi.org/10.1590/0102-6720201700020014
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author DE-QUADROS, Luiz Gustavo
KAISER-JUNIOR, Roberto Luiz
CAMPOS, Josemberg Marins
FELIX, Valter Nilton
FLAMINI-JÚNIOR, Mário
VECCHI, Maurício
Teixeira, André
DE-SANTANA, Marcelo Falcão
ZOTARELLI-FILHO, Idiberto José
author_facet DE-QUADROS, Luiz Gustavo
KAISER-JUNIOR, Roberto Luiz
CAMPOS, Josemberg Marins
FELIX, Valter Nilton
FLAMINI-JÚNIOR, Mário
VECCHI, Maurício
Teixeira, André
DE-SANTANA, Marcelo Falcão
ZOTARELLI-FILHO, Idiberto José
author_sort DE-QUADROS, Luiz Gustavo
collection PubMed
description BACKGROUND: With a prevalence of 0.4-3.5%, subepithelial lesions of the upper digestive tract are discovered during endoscopic procedures. Treatment depends on etiological and pathophysiological information, ability to diagnose and the different technical resources available. AIM: To demonstrate the effectiveness of a surgical technique that combines endoscopy and videolaparoscopy in the transgastric resection of subepithelial juxtacardic lesions. METHOD: The patients were assisted with a technical combination between endoscopy and laparoscopy. After diagnosis of subepithelial tumor, intraoperative endoscopy was performed after pneumoperitoneum and placement of laparoscopic tweezers. Through endoscopy, the following steps were performed: demarcation of surgical margins, visualization of the intragastric image for the laparoscopic procedure and removal of the surgical specimen. By laparoscopy the following steps were performed: intragastric intra-abdominal access, resection of the part and closure of the gaps. RESULTS: This technique was applied in two cases in order to evaluate its initial results. There were two videolaparoendoscopic resections of juxtacardiac gastric tumors of the posterior wall. Both had their endoscopic diagnosis confirmed. After laparoendoscopic and tomographic and/or ecoendoscopic diagnostic complementation and preoperative performance, the laparoendoscopic procedure was indicated. The patients had a good recovery, with a short hospitalization time and no complications. CONCLUSION: The combined use of videolaparoscopy and endoscopy is a safe and effective technique for transgastric resection of juxtacardiac subepithelial lesions. It may be important for definitive diagnosis of the tumor.
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spelling pubmed-55437952017-08-15 LAPAROENDOSCOPIC TRANSGASTRIC RESECTION OF SUBEPITHELIAL JUXTACARDIAC TUMORS DE-QUADROS, Luiz Gustavo KAISER-JUNIOR, Roberto Luiz CAMPOS, Josemberg Marins FELIX, Valter Nilton FLAMINI-JÚNIOR, Mário VECCHI, Maurício Teixeira, André DE-SANTANA, Marcelo Falcão ZOTARELLI-FILHO, Idiberto José Arq Bras Cir Dig Technique BACKGROUND: With a prevalence of 0.4-3.5%, subepithelial lesions of the upper digestive tract are discovered during endoscopic procedures. Treatment depends on etiological and pathophysiological information, ability to diagnose and the different technical resources available. AIM: To demonstrate the effectiveness of a surgical technique that combines endoscopy and videolaparoscopy in the transgastric resection of subepithelial juxtacardic lesions. METHOD: The patients were assisted with a technical combination between endoscopy and laparoscopy. After diagnosis of subepithelial tumor, intraoperative endoscopy was performed after pneumoperitoneum and placement of laparoscopic tweezers. Through endoscopy, the following steps were performed: demarcation of surgical margins, visualization of the intragastric image for the laparoscopic procedure and removal of the surgical specimen. By laparoscopy the following steps were performed: intragastric intra-abdominal access, resection of the part and closure of the gaps. RESULTS: This technique was applied in two cases in order to evaluate its initial results. There were two videolaparoendoscopic resections of juxtacardiac gastric tumors of the posterior wall. Both had their endoscopic diagnosis confirmed. After laparoendoscopic and tomographic and/or ecoendoscopic diagnostic complementation and preoperative performance, the laparoendoscopic procedure was indicated. The patients had a good recovery, with a short hospitalization time and no complications. CONCLUSION: The combined use of videolaparoscopy and endoscopy is a safe and effective technique for transgastric resection of juxtacardiac subepithelial lesions. It may be important for definitive diagnosis of the tumor. Colégio Brasileiro de Cirurgia Digestiva 2017 /pmc/articles/PMC5543795/ /pubmed/29257852 http://dx.doi.org/10.1590/0102-6720201700020014 Text en http://creativecommons.org/licenses/by/4.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution License
spellingShingle Technique
DE-QUADROS, Luiz Gustavo
KAISER-JUNIOR, Roberto Luiz
CAMPOS, Josemberg Marins
FELIX, Valter Nilton
FLAMINI-JÚNIOR, Mário
VECCHI, Maurício
Teixeira, André
DE-SANTANA, Marcelo Falcão
ZOTARELLI-FILHO, Idiberto José
LAPAROENDOSCOPIC TRANSGASTRIC RESECTION OF SUBEPITHELIAL JUXTACARDIAC TUMORS
title LAPAROENDOSCOPIC TRANSGASTRIC RESECTION OF SUBEPITHELIAL JUXTACARDIAC TUMORS
title_full LAPAROENDOSCOPIC TRANSGASTRIC RESECTION OF SUBEPITHELIAL JUXTACARDIAC TUMORS
title_fullStr LAPAROENDOSCOPIC TRANSGASTRIC RESECTION OF SUBEPITHELIAL JUXTACARDIAC TUMORS
title_full_unstemmed LAPAROENDOSCOPIC TRANSGASTRIC RESECTION OF SUBEPITHELIAL JUXTACARDIAC TUMORS
title_short LAPAROENDOSCOPIC TRANSGASTRIC RESECTION OF SUBEPITHELIAL JUXTACARDIAC TUMORS
title_sort laparoendoscopic transgastric resection of subepithelial juxtacardiac tumors
topic Technique
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5543795/
https://www.ncbi.nlm.nih.gov/pubmed/29257852
http://dx.doi.org/10.1590/0102-6720201700020014
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