Laparoscopic resection of large leiomyomas of the gastric fundus

Two patients with a large leiomyoma arising from the gastric fundus underwe nt laparoscopic resection, In case 1, the tumor was located in the anterior wall of the gastric fundus. To prevent stenosis and preserve the volume of the residual stomach, intragastric resection was adopted, The tumor was ma rkedly and resected with laparosonic co-agulating shears with a 1-cm safety margin. In case 2, a large tumor was detected in the duodenal bulb. Seriou s hemorrhage mandated emergency resection. The tumor originated from the po sterior wall of the fundus, Attempts at reduction with the forceps failed, Reduction by digital manipulation via laparoscopic port sites was successfu l, An endostapler was used to resect the tumor and close the anterior wall. Both patients recovered uneventfully.