Laparoscopic endogastric surgery is a novel surgical approach that int
roduces the viewing laparoscope and instruments into the gastric lumen
. The excellent visualization, improved instrument handling and versat
ility afforded by this technique enable local resection of mucosal les
ions that are beyond the scope of peroral endoscopy. The authors descr
ibe this particular approach for the excision of gastric villous adeno
ma and early gastric cancer.