In a 48-year-old Japanese man there was an uncontrollable and recurren
t bleeding from a gastric ulcer and laparoscopic surgery was done. Two
cannulae were placed in the gastric cavity through the abdominal wall
and suture ligation of the bleeding vessel at the posterior wall of t
he stomach was done under video-visual control with endoscopic guidanc
e. The bleeding ceased, complications were nil, and he remains well. T
his article reports on surgery done to repair uncontrollable, recurren
t bleeding from a gastric ulcer. Two cannulae were placed in the gastr
ic cavity through the abdominal wall and suture of the vessel at the p
osterior wall of the stomach was done with videovisual control and end
oscopic guidance. This approach is concluded to have supplied minimal-
access surgery, cost effectiveness, early discharge, less pain, and do
ctor-patient satisfaction.