Copyright
©The Author(s) 2015. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Gastrointest Endosc. Oct 10, 2015; 7(14): 1150-1156
Published online Oct 10, 2015. doi: 10.4253/wjge.v7.i14.1150
Published online Oct 10, 2015. doi: 10.4253/wjge.v7.i14.1150
Laparoscopic endoscopic cooperative surgery as a minimally invasive treatment for gastric submucosal tumor
Tsutomu Namikawa, Kazuhiro Hanazaki, Department of Surgery, Kochi Medical School, Nankoku, Kochi 783-8505, Japan
Author contributions: Namikawa T drafted the manuscript, prepared the figures and tables; Hanazaki K made critical revisions.
Institutional review board statement: This study was considered exempt by the Kochi Medical School Institutional Review Board.
Informed consent statement: Informed consent was obtained from the patients for publication in this case report.
Conflict-of-interest statement: We declare that there is no conflict of interest associated with any of the authors contributed their efforts in this manuscript.
Open-Access: This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Correspondence to: Tsutomu Namikawa, MD, PhD, Department of Surgery, Kochi Medical School, Kohasu, Okocho, Nankoku, Kochi 783-8505, Japan. tsutomun@kochi-u.ac.jp
Telephone: +81-88-8802370 Fax: +81-88-8802371
Received: June 30, 2015
Peer-review started: July 4, 2015
First decision: July 29, 2015
Revised: August 5, 2015
Accepted: September 7, 2015
Article in press: September 8, 2015
Published online: October 10, 2015
Peer-review started: July 4, 2015
First decision: July 29, 2015
Revised: August 5, 2015
Accepted: September 7, 2015
Article in press: September 8, 2015
Published online: October 10, 2015
Core Tip
Core tip: Resection of intragastric-type submucosal tumor can be problematic due to the difficulty in accurately judging the location of endoluminal tumor growth, and often excessive amounts of healthy mucosa are removed; thus, full-thickness local excision using laparoscopic and endoscopic cooperative surgery (LECS) is a promising procedure for these cases. The important advantage of LECS is the reduction in the resected area of the gastric wall compared to that in conventional laparoscopic wedge resection using a linear stapler. Developments in endoscopic and laparoscopic technology have generated various modified LECS techniques, leading to even less invasive surgery.