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  • Title
  • 1. Placement of Umbilical Port
  • 2. Inspection of Abdominal Contents
  • 3. Identification and Mobilization
  • 4. Excision of Mass
  • 5. Lysis of Adhesions
  • 6. Closure

Laparoscopic Gastric Wedge Resection for a GIST

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Vahagn G. Hambardzumyan, MD1; Martin Goodman, MD2
1Yerevan State Medical University, Heratsi Hospital Complex
2Tufts University School of Medicine

General SurgeryOncologic Surgery

Procedure Outline

Table of Contents

  1. 1. Port Placement (Umbilical Port)
    1. 2. Inspection of Abdominal Contents
      1. 3. Placement of Lateral Ports
        1. 4. Identification of Stomach and Greater Omentum
          1. 5. Mobilization of Greater Omentum and Entry into Lesser Sac
            1. 6. Identification of Mass
              1. 7. Excision of Mass
                1. 8. Lysis of Adhesions
                  1. 9. Closure
                    1. Incise skin and dissect down to fascia.
                    2. Place fascial stay sutures and open fascia and peritoneum.
                    3. Sweep any abdominal structures away from port site with finger sweep.
                    4. Place umbilical port.
                    5. Other two ports placed under direct vision of camera passed through abdominal port.
                    1. Identify any peritoneal adhesions.
                    1. Under direct vision via umbilical port.
                    1. LigaSure used to divide short gastric vessels close to edge of greater curvature of the stomach.
                    1. Mass tattooed preoperatively by gastroenterology service.
                    1. Endo GIA stapler with 45-mm load used to staple across base of mass.
                    1. Removal of specimen via Endo Catch bag.
                    2. Inspection of abdominal contents and gastric staple line.
                    3. Fascial closure.
                    4. Infiltration of local anesthetic.

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                    Filmed At:

                    Tufts University School of Medicine

                    Article Information

                    Publication Date
                    Article ID11
                    Production ID0066
                    Volume2024
                    Issue11
                    DOI
                    https://doi.org/10.24296/jomi/11