Laparoscopic Wedge Resection of the Stomach for Early Gastric Cancer Using a Lesion-Lifting Method

Abstract
This report describes an original laparoscopic treatment for early gastric cancer with curative intent. After laparoscopic exposure of the gastric wall around a cancerous lesion, a small metal rod is introduced into the stomach at the vicinity of the lesion through a catheter which pierces the abdominal wall and the exposed gastric wall. While the cancerous lesion is lifted up precisely with the support of the metal rod, wedge resection of the stomach is carried out using an endoscopic stapling device. This procedure results in complete local resection of the lesion with a sufficient surgical margin. We have applied this method to 6 patients with mucosal gastric cancer. Postoperative courses were all uneventful, and the histology revealed they were curative resections. Provided the indication is selected properly, it could be a curative and minimally invasive treatment for early gastric cancer.