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KMID : 0365719950110010010
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Journal of Pusan Surgical Society
1995 Volume.11 No. 1 p.10 ~ p.16
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Laparoscopic Wedge Resection of the Stomach
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Abstract
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Laparoscopic surgery has been currently popularized with benefit of simple, minimally invasive technique with prompt recovery and short hospital stay. Its application is expanding rapidly with accumulation of new techniques and improvement of
equipments
over last several years.
Laparoscopic wedge resection of the stomach was carried out with gastroscopic assistance as a new surgical procedure for the resection of early gastric cancer and benign gastric tumor.
Under the general anesthesia with the patient supine, a laparoscope was inserted through a 10-mm supraumbilical cannula. Under direct vision, a 18-mm port was made on the mid-clavicular line in the left hypogastrium for introduction of a 60-mm
Endo-GIA
(Auto Suture), and a 10-mm cannula was placed in the epigastrium to the right of the falciform ligament for instrument access. An internist put a gastroscope into the stomach to raise up the lesion with light illumination. The raised area was
grasped
with a laparo-Babcock's forceps. A cuff of stomach was excised out by Endo-GIA cutting.
Laparoscopic gastric resection would allow excision of small gastric tumors with assessment of the regional lymph nodes and the liver, without the risk of open surgery.
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KEYWORD
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