GASLESS LAPAROSCOPIC EXCISION OF BLEEDING GASTRIC POLYP

A case of bleeding gastric polyp in an elderly woman with compromised respiratory function was treated successfully as an emergency by the g asless laparoscopic technique after endoscopic means failed to control the bleeding. The application of laparoscopic mechanical stapling dev ices allows rapid gastrotomy and resection, with simultaneous hemostas is that is beneficial in acute bleeding condition. The use of gasless laparoscopy also allows continuous suction to be applied for identific ation of the bleeding pathology and it also reduces the risk of pneumo peritoneum in patients with poor cardiorespiratory reserve. The operat ive approach and technique are fully discussed.