Endo-organ and laparoscopic management of gastric leiomyomas

Various techniques have been reported for the laparoscopic treatment of ben ign gastric lesions, depending on the site of the lesion. Recently, a new t echnique of endo-organ gastric surgery has been developed that is particula r useful for the treatment of lesions on the posterior gastric wall. We rep ort on two patients with submucosal gastric tumors. A 79-year-old man was f ound to have a submucosal tumor near the esophagogastric junction in the po sterior wall of the stomach. Endosonography suggested that the tumor was a gastric leiomyoma, Under endoscopic guidance, three ports were inserted int o the stomach and the tumor could be successfully enucleated. A 78-year-old woman was found to have a 2 x l-cm submucosal tumor at the anterior wall o f the antrum. The tumor was successfully removed by laparoscopic gastrotomy and resection. The various laparoscopic techniques for the treatment of ga stric lesions are discussed.