Abstract:
:Development of an innovative method of endoscopic laser-supported diaphanoscopy, for precise demonstration of the location of gastrointestinal stromal tumors (GISTs) at laparoscopy is described. The equipment consists of a light transmission cable with an anchoring system for the gastric mucosa, a connecting system for the light source, and the laser light source itself. During surgery, transillumination by laser is used to show the shape of the tumor. The resection margins are then marked by electric coagulation. Ten patients have been successfully treated using this technique in laparoscopic-endoscopic rendezvous procedures. Average time of surgery was 123 minutes. The time for marking the shape of the tumor averaged 16 minutes. Depending on tumor location and size, 4-7 marks were used, and resection margins were 4-15 mm. This new and effective technique facilitates precise locating of gastric GISTs leading to exact and tissue-sparing transmural laparoscopic resections.
journal_name
Endoscopyjournal_title
Endoscopyauthors
Patrzyk M,Schreiber A,Heidecke CD,Glitsch Adoi
10.1055/s-0029-1215321subject
Has Abstractpub_date
2009-12-01 00:00:00pages
1090-4issue
12eissn
0013-726Xissn
1438-8812journal_volume
41pub_type
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