Hybrid Endoscopic-Laparoscopic Transgastric Resection of Gastric Subepithelial Tumor

Management of subepithelial prepyloric gastric masses often necessitates complex surgeries, including wedge resections or a formal distal gastrectomy. With the high rate of morbidity and mortality, minimally invasive techniques to treat gastric tumors are gaining acceptance.The authors present a case of a combined endoscopic and laparoscopic transgastric full-thickness resection of a prepyloric subepithelial gastric mass. They attempt to demonstrate the safety of this technique and the possibility of performing a complete and full-thickness resection, while sparing a formal resection of the distal stomach. The video highlights a unique combination of endoscopic and laparoscopic skills.Suggested ReadingVoltaggio L, Montgomery EA. Gastrointestinal tract spindle cell lesions--just like real estate, it's all about location. Mod Pathol. 2015;28 Suppl 1:S47-S66.Kang G, Park HJ, Kim JY, et al. Glomus tumor of the stomach: a clinicopathologic analysis of 10 cases and review of the literature. Gut Liver. 2012;6(1):52-57.