Abstract

BORRAEZ SEGURA, Bernardo A. et al. Laparo-endoscopic cooperative gastric surgery. Rev. argent. cir. [online]. 2018, vol.110, n.1, pp.1-10. ISSN 2250-639X.

Background: cooperative gastric surgery uses simultaneous, intraluminal peroral and intraperitoneal trans-abdominal pathways to localize and treat, in real tme, dificult tumors with conventonal proce-dures. The aim is to resect lesions of diferent etology with video assited techniques, simultaneous, preserving tssue and functonality, with the benefts of minimally invasive surgery. Objective: the aim of our study was describe our experience in cooperative gastric procedures at the Natonal Cancer Institute in Bogotá, Colombia. Materials and methods: prospective review of a retrospective database. Descriptive analysis of pa-tents in whom cooperative gastric procedures were performed at the Natonal Cancer Institute of Bogotá, Colombia, between October 2012 and November 2016. Results: sixteen laparoscopic endoscopic cooperative procedures were performed; eight of 16 resec-ted tumors were subepithelial; four cases were done for resecton of previous positive margins, two epithelial lesions and two for bleeding and palliative control. Fourteen procedures were exogastric, 1 intragastric and 1 transgastric. The operative tme was 91 minutes, the average bleeding was 42 cc and negative margins were present in all cases. The mean hospital stay was 4 days. Conclusions: Our study shows that laparoscopic endoscopic cooperative surgery is a safe and feasible technique with acceptable operative tmes and minimal bleeding in patents with and without comorbidites, preserving the oncological and minimally invasive principles in the treatment of gastric neoplasms.

Keywords : laparoscopy, endoscopy, surgery..

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