caa a22 4500 445332999 CHVBK 20180317142743.0 cr unu---uuuuu 170323e20110101xx s 000 0 eng 10.1245/s10434-010-1349-9 doi (NATIONALLICENCE)springer-10.1245/s10434-010-1349-9 Single-Incision Transumbilical Laparo-Endoscopic Gastric Benign Tumor Resection [Elektronische Daten] [Giovanni Dapri, Ruffin Ntounda, Jacques Himpens, Pietro Carnevali, Serena Scomersi, Guy-Bernard Cadière] Introduction: The authors report resection of a gastric benign tumor through single-incision laparoscopy, guided by peroperative gastroscopy. Video: A 25-year-old man consulted after diagnosis of a 40×20cm2 endoluminal lesion of the gastric cardia. Preoperative work-up showed a stromal tumor with invasion of the muscular layer. The umbilical scar was incised and, after placement of a purse-string suture, an 11-mm nondisposable trocar was inserted for a 10-mm 30° angled scope. Curved and reusable instruments (Karl Storz-Endoskope, Tuttlingen, Germany) and straight ultrasonic shears (Ethicon Endosurgery, Cincinnati, OH, US) were inserted transumbilically. Peroperative gastroscopy located the lesion on the smaller gastric curvature, 1cm from the gastroesophageal junction. A stitch was placed in the center of the lesion, and gastroscopic grasper helped in maintaining the limits of resection. Gastrostomy was closed using two converting absorbable running sutures. Because of the curves of the instruments there was no conflict between the instruments' tips inside the abdomen (Fig.1a), or between the surgeon's hands outside the abdomen (Fig.1b). Leak test with the gastroscope checked the integrity of the suture. The specimen was retrieved transumbilically in a plastic bag. Results: Operative time was 150min, and the umbilical incision was less than 15mm. The patient was discharged after 5days, and he is doing well 3months postoperatively. Conclusions: Laparoscopic gastric resection can be safely performed through a single-access. Peroperative gastroscopy permits the limits of resection to be precisely determine, and use of curved and reusable instruments allows surgeon to achieve ergonomic conditions as in classic laparoscopy, without increasing the laparoscopic cost. Society of Surgical Oncology, 2010 Dapri Giovanni Department of Gastrointestinal Surgery, European School of Laparoscopic Surgery, Saint-Pierre University Hospital, Brussels, Belgium aut Ntounda Ruffin Department of Gastroenterology and Endoscopy, Saint-Pierre University Hospital, Brussels, Belgium aut Himpens Jacques Department of Gastrointestinal Surgery, European School of Laparoscopic Surgery, Saint-Pierre University Hospital, Brussels, Belgium aut Carnevali Pietro Department of Gastrointestinal Surgery, European School of Laparoscopic Surgery, Saint-Pierre University Hospital, Brussels, Belgium aut Scomersi Serena Department of Gastrointestinal Surgery, European School of Laparoscopic Surgery, Saint-Pierre University Hospital, Brussels, Belgium aut Cadière Guy-Bernard Department of Gastrointestinal Surgery, European School of Laparoscopic Surgery, Saint-Pierre University Hospital, Brussels, Belgium aut Annals of Surgical Oncology Springer-Verlag 18/1(2011-01-01), 191-191 1068-9265 18:1<191 2011 18 10434 https://doi.org/10.1245/s10434-010-1349-9 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1245/s10434-010-1349-9 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Dapri Giovanni Department of Gastrointestinal Surgery, European School of Laparoscopic Surgery, Saint-Pierre University Hospital, Brussels, Belgium aut NATIONALLICENCE 700 1- Ntounda Ruffin Department of Gastroenterology and Endoscopy, Saint-Pierre University Hospital, Brussels, Belgium aut NATIONALLICENCE 700 1- Himpens Jacques Department of Gastrointestinal Surgery, European School of Laparoscopic Surgery, Saint-Pierre University Hospital, Brussels, Belgium aut NATIONALLICENCE 700 1- Carnevali Pietro Department of Gastrointestinal Surgery, European School of Laparoscopic Surgery, Saint-Pierre University Hospital, Brussels, Belgium aut NATIONALLICENCE 700 1- Scomersi Serena Department of Gastrointestinal Surgery, European School of Laparoscopic Surgery, Saint-Pierre University Hospital, Brussels, Belgium aut NATIONALLICENCE 700 1- Cadière Guy-Bernard Department of Gastrointestinal Surgery, European School of Laparoscopic Surgery, Saint-Pierre University Hospital, Brussels, Belgium aut NATIONALLICENCE 773 0- Annals of Surgical Oncology Springer-Verlag 18/1(2011-01-01), 191-191 1068-9265 18:1<191 2011 18 10434 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer