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TRANSGASTRIC LAPAROSCOPIC RESECTION OF A STOMACH MASS AT THE GASTRO-ESOPHAGEAL JUNCTION
Spyridon Pagkratis, Bradley Hall, Priscila R. Armijo, Dmitry Oleynikov*
University of Nebraska Medical Center, Omaha, NE

We present the case of a 61 yo female diagnosed with a mass at the posterior Gastro-Esophageal Junction treated with transgastric laparoscopic resection. Pre-operative work up suggested a mass of mesenchymal origin so negative margin resection without lymph node dissection was deemed adequate. Three 5 mm trocars were placed through the abdominal wall in the stomach and the mass was resected with the underlying stomach wall in a full thickness fashion. The defect was closed with intra-gastric suturing. The mass was removed through a small incision at the anterior stomach wall that was subsequently stapled. The patient tolerated the procedure well and was discharged on POD 2 on soft diet.


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