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Dzhantukhanova S.V.

Vishnevsky National Medical Research Center of Surgery

Starkov Yu.G.

Vishnevsky National Medical Research Center of Surgery

Kontorshchikov P.K.

Vishnevsky National Medical Research Center of Surgery

Zamolodchikov R.D.

Vishnevsky National Medical Research Center of Surgery

Hybrid laparo-endoscopic gastric resection for non-epithelial pyloric tumor

Authors:

Dzhantukhanova S.V., Starkov Yu.G., Kontorshchikov P.K., Zamolodchikov R.D.

More about the authors

Journal: Pirogov Russian Journal of Surgery. 2022;(6): 140‑145

DOI: 10.17116/hirurgia2022061140

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Table of contents

HYBRID LAPARO-ENDOSCOPIC GASTRIC RESECTION FOR NON-EPITHELIAL PYLORIC TUMOR
HYBRID LAPARO-ENDOSCOPIC GASTRIC RESECTION FOR NON-EPITHELIAL PYLORIC TUMOR

To cite this article:

Dzhantukhanova SV, Starkov YuG, Kontorshchikov PK, Zamolodchikov RD. Hybrid laparo-endoscopic gastric resection for non-epithelial pyloric tumor. Pirogov Russian Journal of Surgery. 2022;(6):140‑145. (In Russ.)
https://doi.org/10.17116/hirurgia2022061140

Подписка 2025-2 (Pirogov Russian Journal of Surgery)
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In January 2020, a patient with a gastrointestinal stromal tumor of the antrum located in close proximity to the pylorus underwent a hybrid laparo-endoscopic organ-sparing gastric resection. There were no intraoperative and postoperative complications. Control endoscopic and X-ray examination of the stomach confirmed normal motor and evacuation function of the stomach. To date, follow-up period is more than 1.5 years. The patient has no complaints. This case demonstrates clear advantages of hybrid access in certain clinical situations, such as localization in anatomically difficult areas and near functional sphincters. Surgical approach ensured pylorus-sparing resection with favorable postoperative result.

Keywords:

submucosal gastric tumor
non-epithelial tumor
hybrid access
endoscopic treatment
gastric resection

Authors:

Dzhantukhanova S.V.

Vishnevsky National Medical Research Center of Surgery

Starkov Yu.G.

Vishnevsky National Medical Research Center of Surgery

Kontorshchikov P.K.

Vishnevsky National Medical Research Center of Surgery

Zamolodchikov R.D.

Vishnevsky National Medical Research Center of Surgery

Received:

01.11.2021

Accepted:

10.12.2021

List of references:

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  2. Nishida T, Kawai N, Yamaguchi S, Nishida Y. Submucosal Tumors: Comprehensive Guide for the Diagnosis and Therapy of Gastrointestinal Submucosal Tumors. Digestive Endoscopy. 2013;25:479-489.  https://doi.org/10.1111/den.12149
  3. ESMO/European Sarcoma Network Working Group. Gastrointestinal stromal tumors: ESMO Clinical Practice Guidelines for diagnosis, treatment and follow-up. Ann Oncol. 2012;23(7):vii49-vii55. PMID: 22997454. https://doi.org/10.1093/annonc/mds252
  4. Kim HH. Endoscopic treatment for gastrointestinal stromal tumor: Advantages and hurdles. World Journal of Gastrointestinal Endoscopy. 2015;7(3):192-205.  https://doi.org/10.4253/wjge.v7.i3.192
  5. Abe N, Takeuchi H, Ooki A, Nagao G, Masaki T, Mori T, Sugiyama M. Recent developments in gastric endoscopic submucosal dissection: towards the era of endoscopic resection of layers deeper than the submucosa. Dig Endosc. 2013;25(1):64-70. PMID: 23368096. https://doi.org/10.1111/j.1443-1661.2012.01387.x
  6. Jeong IH, Kim JH, Lee SR, et al. Minimally invasive treatment of gastric gastrointestinal stromal Tumors: Laparoscopic and Endoscopic Approach. Surgical Laparoscopy. Endoscopy & Percutaneous Techniques. 2012;22(3):244-250.  https://doi.org/10.1097/sle.0b013e31825078f2
  7. Shim JH, Lee HH, Yoo HM, Jeon HM, Park CH, Kim JG, Song KY. Intragastric approach for submucosal tumors located near the Z-line: a hybrid laparoscopic and endoscopic technique. J Surg Oncol. 2011;104:312-315. PMID: 21465489. https://doi.org/10.1002/jso.21934
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  9. Cao L, Zheng K, Wang H, Zhao Y, Yang Z, Li W. Laparoscopic and endoscopic cooperative dissection for small gastric gastrointestinal stromal tumor without causing injury to the mucosa. Gastroenterol Res Pract. 2019;2019:7376903. eCollection 2019. https://doi.org/10.1155/2019/7376903
  10. Nunobe S, Hiki N, Gotoda T, Murao T, Haruma K, Matsumoto H, et al. Successful application of laparoscopic and endoscopic cooperative surgery (LECS) for a lateral-spreading mucosal gastric cancer. Gastric Cancer. 2012;15:338-342. PMID: 22350555. https://doi.org/10.1007/s10120-012-0146-5
  11. Dzhantukhanova S, Starkov Yu, Solodinina E, Zamolodchikov R. The smart approach to surgical treatment of submucosal tumors based on preoperative EUS-typing. ALES. 2019;4.  https://doi.org/10.21037/ales.2019.06.08
  12. Starkov YuG, Solodinina EN, Dzhantukhanova SV, Vyborniy MI, Lukich KV, Zamolodchikov RD. Classification of non-epithelial tumors of the upper gastrointestinal tract for the choice of surgical intervention. Oncology bulletin of the Volga region. 2017;5(32). (In Russ.).
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