腹腔鏡下に局所切除しえた食道胃接合部近傍の胃平滑筋腫の1例

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  • A CASE OF GASTRIC LEIOMYOMA CLOSE TO THE ESOPHAGOCARDIAC JUNCTION (EC-JUNCTION) WHICH WAS COMPLETELY RESECTED BY LAPAROSCOPIC WEDGE RESECTION METHOD

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A 64-year-old woman was under observation for a submucosal tumor on the anterior wall of the stomach close to EC-junction which was detected 2 years before. The tumor rapidly enlarged in these several months. Upper gastrointestinal series and endoscopy revealed a submucosal tumor of Yamada's type II 2.5cm in longer diameter in the vicinity of the EC-junction with bridging fold. The tumor was shown as homogeneous mass connecting to the proper muscle layer in endoscopic ultrasonography. The patient underwent a laparoscopic wedge resection of the stomach after cutting of serosa surface on the tumor to prevent post-operative stenosis. The tumor was completely resected and histologically diagnosed as cellular leiomyoma. This procedure may be superior therapeutic method to the conventional laparotomy approach in the good curability, less post operative pain and excellent cosmetic benefit.

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