Abstract:

The clinical application of a new combined therapy with gastroscopy and laparoscopy in benign gastric lesion. Yin Kai* ,Zheng Chengzhu,Zou Xiaoping,et al.*Department of General Surgery,Changhai Hospital,Shanghai 200433,China Abstract Objective To introduce a new combined therapy with gastroscopy and laparoscopy in benign gastric lesion and to evaluate its clinical effect. Methods 31 patients were attempted to be treated with this combined therapy.The lesions,including submucosal tumor,gastric mucosal proliferation,gastric polyps,were all located in the anterior wall of gastric antrum,cardiac and body.Under general anesthesia,the lesion was resected completely with gastroscopic cautery resection firstly.Then laparsocopic repair was performed if the gastric wall was perforated or delayed perforation might be happen. Results The combined therapy were accomplished successfully in all patients.Among which,12 patients needed laparoscopic gastric wall repair.The mean time of gastroscopy and laparoscopy was 27min and 39min respectively.Intraoperative bleeding was trace.All the patients can resume liquid oralintake and motiliy at the first day postoperatively.No delayed perforation,leakage and bleeding occurred.The mean time of hospital stay was 24 days.Followingup was obtained in 27 patients and no recurrence occurred. Conclusion We conclude that this new combined therapy is a more minimal invasive treatment with the value of clinical application.