Hybrid natural orifice transluminal endoscopic surgery in gastric subepithelial tumors

Figure 1 Procedures for hybrid natural orifice transluminal endoscopic surgery (laparoscopic assisted endoscopic full-thickness resection). A: Laparoscopic view during dissection of the attachment of the lesser omentum around the tumor site; B: Endoscopic view during precutting around the tumor using an O type knife (Finemedix, Daegu, South Korea); C, D: Laparoscopic view of a full-thickness incision from inside the stomach using the same knife; E: Laparoscopic view of the remaining full thickness incision from outside the stomach using a HARMONIC ACE^® (Ethicon Endo-Surgery); F: Laparoscopic view after laparoscopic handsewn closure of the gastric wall defect.