Table 1.
Literature review of combined laparo-endoscopic modalities for resecting GIST tumors of the stomach.
| Article | Gender | Age (years) | Procedure | Pathology | Location | Hospital stay |
|---|---|---|---|---|---|---|
| Endoscopic-assisted laparoscopic resection for gastric subepithelial tumors. [5] | 22 Males 16 Females |
Mean age 67 Range 41–86 | laparoscopic wedge resections and laparoscopic subtotal gastrectomies were performed. If the tumor was not identified at laparoscopy by inspection or palpation, a perioperative endoscopy was performed to confirm its position and ensure adequate resection. (14 patients had intraoperative endoscopic assessment (EAWR) | 32 GISTs 3 Neuroendocrine tumors 3 others |
16 in fundus 18 in body 4 in antrum 19 anterior, 19 posterior 12 on lesser curvature, 14 on greater curvature |
Median of 3 days |
| Laparo-endoscopic transgastric resection of gastric submucosal tumors. [20] | 6 Males 8 Females | Mean age 56.8 ± 13 | EATR | 10 GISTs 3 Leiomyomas 1 Schwannoma | 1 in duodenum 2 in fundus 2 on lesser curvature 4 at GE junction 6 in antrum |
1.8 ± 1.5 days |
| A case of gastric adenocarcinoma of fundic gland type resected by combination of laparoscopic and endoscopic approaches to neoplasia with non-exposure technique (CLEAN-NET). [17] | Male | 80s | Combination of laparoscopic and endoscopic approaches to neoplasia with non-exposure technique (CLEAN-NET) | Gastric cancer of fundic gland type (GAFT) | Greater curvature of the proximal fornix | 19 days |
| Single port laparoscopic and endoscopic cooperative surgery for a gastric gastrointestinal stromal tumor: report of a case. [21] | Female | 75 | LECS | GIST | Anterior gastric wall, near EGJ | 5 days |
| Long term outcomes of combined endoscopic/laparoscopic intragastric enucleation of presumed gastric stromal tumors. [8] | 8 Males 8 Females |
Mean age 62 | EATR | 9 GISTs 5 Leiomyomas 1 Schwannoma 1 Ectopic pancreatic cyst |
8 Posterior body/greater curvature 5 GE junction 2 Incisura 1 Fundus |
Mean 4.4 days |
| Defining a subgroup treatable for laparoscopic and endoscopic cooperative surgery in undifferentiated early gastric cancer: the role of lymph node metastasis. [22] | 11 Males 7 Females |
14 patients < 60 4 patients over 60 | LECS | Early gastric cancer | Not specified | Not specified |
| Laparoscopic and endoscopic cooperative surgery for gastrointestinal stromal tumor with complete situs inversus: report of a case. [23] | Male | 78 | LECS | GIST | Upper stomach near GE Junction | 12 days |
| Laparoscopic wedge resection of the stomach for gastrointestinal stromal tumor (GIST): non-touch lesion lifting method. [1] | 15 Males 27 females |
Median 66 Range 37–78 |
EAWR | 42 GISTs | 30 upper third of stomach 12 middle third of stomach |
Median 7 days (6–14) |
| Successful application of laparoscopic and endoscopic cooperative surgery (LECS) for lateral spreading mucosal gastric cancer. [24] | Female | 70 | LECS | Early mucosal gastric cancer | Greater curvature of the fornix | Not specified |
| Successful gastric submucosal tumor resection using laparoscopic and endoscopic cooperative surgery. [25] | 10 Males 10 Females |
Mean age 59.3 ± 11.9 years | LECS | 16 GISTs 1 Inflammation from parasite 1 Leiomyoma 1 Glomus tumor 1 Abberant pancreas |
8 in upper third of stomach (2 tumors located within 10 and 15 mm from EG junction) 8 in middle third of stomach 4 in lower part of stomach |
Average 11.6 days (range 6–13 days) |
| Laser-supported diaphanoscopy: a new technique in laparoscopic-endoscopic rendezvous procedures allowing better and moretissue-sparing tumor resection than wedge resection. [26] |
6 Males 4 Females |
Mean age 64.7 Range 34–86 | Tumor was marked with Endolight during endoscopy and was then resected laparoscopically (EAWR) | 10 GISTs | 5 anterior and 5 posterior gastric wall | Not specified |
| Fundic Rotation Technique: A useful procedure for laparoscopic exogastric resection of gastric submucosal tumors located on the posterior wall near the esophagogastric junction. [13] | 3 Males 2 Females |
Range 57–72 years | EATR | 5 GISTs | Within 1 inch of GE junction | Mean 8.2 days |
| Endoscopic full-thickness resection with laparoscopic assistance as hybrid NOTES for gastric submucosal tumor. [27] | 4 Males | Mean age 58.5 | Laparoscopically assisted endoscopic full-thickness resection (LAER) | 1 Lipoma 1 GIST 1 Ectopic pancreas 1 Schwannoma | 1 Middle anterior greater curvature 1 Upper anterior lesser curvature 1 Middle posterior greater curvature 1 Middle lesser curvature |
7–8 days |
| Combined Endolaparoscopic Intragastric Excision for Gastric Neoplasms. [28] | 7 Males 5 Females |
Mean age 73 Range 47–83 |
Laparoscopically assisted transgastric resection (LATR) Complete transgastric submucosal dissection. the non-full-thickness resection defect is closed intra-gastrically under laparoscopic guidance |
8 GISTs 1 Adenomatous polyp with focal intramucosal adenocarcinoma 1 Leiomyoma 1 Well-differentiated adenocarcinoma 1 Pancreatic heterotopia |
1 at incisura 2 in body 2 in fundus 3 in antrum 4 in cardia |
Mean 5.2 days |
| Simultaneous Use of Laparoscopy and Endoscopy for Minimally Invasive Resection of Gastric Subepithelial Masses — Analysis of 93 Interventions. [15] |
43 Males 47 Females | Range 27–83 |
EAWR − 55 patients. EATR − 34 patients. LAER − 1 patient |
62 GISTs 9 Leiomyomas 5 Neurinomas 5 Lipomas 3 Neuroendocrine tumors 3 Hyperplastic polyps |
Not specified | 4–19 days |
| Laparoscopic and endoscopic cooperative surgery for gastrointestinal stromal tumor dissection. [16] | 7 Females | Range 34–66 | LECS | 6 GISTs 1 Shwannoma | 1 on anterior GE junction 1 in upper anterior stomach 1 in lower anterior stomach 1 in middle posterior stomach 1 in posterior remnant stomach 2 in upper posterior stomach |
7.4 ± 8.1 days |
| Combined endoscopic and laparoscopic approach for palliative resection of metastatic melanoma of the stomach. [29] | Male | 58 | EGD then laparoscopy using EndoGIA 45 mm stapler to resect tumor. 3-0 polypropylene sutures were used to over-sew the suture line (EAWR). | Metastatic melanoma | Anterior wall of stomach | 2 days |
EAWR: Endoscopically assisted wedge resection. EATR: Endoscopically assisted transgastric resection. CLEAN-NET: Combination of laparoscopic and endoscopic approaches to neoplasia with non-exposure technique. LECS: Laparoscopic and endoscopic cooperative surgery. LAER: Laparoscopic assisted endoscopic resection. LATR: Laparoscopic assisted transgastric resection. Similar to LAER but through gastric ports.