Research progress in laparoscopic endoscopic cooperative surgery for early gastric cancer: A narrative review

Figure 5 Closed laparoscopic endoscopic cooperative surgery operation steps. A: Endoscopic circumferential resection of the mucosa and submucosa; B: Suturing of the seromuscular layers on both sides with 3-0 silk thread, fixing the gasket at the center of the suture line; C: The tumor tissue, along with the gasket, is inverted into the gastric cavity, and the seromuscular layer is circumferentially resected under endoscopic guidance; D: Complete removal of the tumor tissue and gasket through the mouth.