PDF(Pubmed)
Abstract：
OBJECTIVE: Although laparoscopic surgery for submucosal tumours (SMTs) may require multiple support threads, the traction direction of a single thread is only one option and cannot be freely changed. To solve this problem, we introduced a novel innovative technique for tumour handling, named \'the parachute method\'.
METHODS: Prior to suturing, the surrounding vessel was treated when the tumour was located near the lesser or greater curvature. A monofilament thread was ligated in the serous muscle layer along the peritumoural markings with approximately five stitches in a row, with moderate deflection. Next, the other monofilament thread was passed through the deflection and ligated; this resembled a parachute shape that could be pulled in any direction over the entire circumference with uniform tension.
RESULTS: We performed this procedure in three patients with extramural growth-type gastrointestinal stromal tumours of approximately 2-3 cm. The median suturing time was 10 minutes. Laparoscopic local resection of the stomach was safely performed, and the patients were discharged without any complications.
CONCLUSIONS: In this study, we demonstrate a novel, simple, inexpensive, useful and reasonable technique for handling SMTs, named \'the parachute method\'. We believe that this technique will have additional applications in cooperative surgery with endoscopy.
METHODS: Prior to suturing, the surrounding vessel was treated when the tumour was located near the lesser or greater curvature. A monofilament thread was ligated in the serous muscle layer along the peritumoural markings with approximately five stitches in a row, with moderate deflection. Next, the other monofilament thread was passed through the deflection and ligated; this resembled a parachute shape that could be pulled in any direction over the entire circumference with uniform tension.
RESULTS: We performed this procedure in three patients with extramural growth-type gastrointestinal stromal tumours of approximately 2-3 cm. The median suturing time was 10 minutes. Laparoscopic local resection of the stomach was safely performed, and the patients were discharged without any complications.
CONCLUSIONS: In this study, we demonstrate a novel, simple, inexpensive, useful and reasonable technique for handling SMTs, named \'the parachute method\'. We believe that this technique will have additional applications in cooperative surgery with endoscopy.
摘要：
未经授权：尽管粘膜下肿瘤（SMT）的腹腔镜手术可能需要多个支撑线，单线的牵引方向仅是一种选择，不能自由改变。为了解决这个问题,我们引入了一种新颖的肿瘤处理创新技术，名为“降落伞方法”。
未经证实：缝合前，当肿瘤位于较小或较大曲率附近时，对周围血管进行治疗。单丝线沿着肿瘤周围标记在浆液性肌肉层中结扎，连续约五针，适度的偏转。接下来,另一根单丝线穿过偏转并结扎；这类似于降落伞的形状，可以在整个圆周上以均匀的张力向任何方向拉动。
UNASSIGNED：我们对3例约2-3厘米的壁外生长型胃肠道间质瘤患者进行了此手术。平均缝合时间为10分钟。腹腔镜胃局部切除术是安全的，患者均无并发症出院。
未经批准：在这项研究中，我们展示了一部小说，简单,便宜,处理SMT的有用和合理的技术，名为“降落伞方法”。我们相信，这种技术将在内窥镜检查的配合手术中有更多的应用。
未经证实：缝合前，当肿瘤位于较小或较大曲率附近时，对周围血管进行治疗。单丝线沿着肿瘤周围标记在浆液性肌肉层中结扎，连续约五针，适度的偏转。接下来,另一根单丝线穿过偏转并结扎；这类似于降落伞的形状，可以在整个圆周上以均匀的张力向任何方向拉动。
UNASSIGNED：我们对3例约2-3厘米的壁外生长型胃肠道间质瘤患者进行了此手术。平均缝合时间为10分钟。腹腔镜胃局部切除术是安全的，患者均无并发症出院。
未经批准：在这项研究中，我们展示了一部小说，简单,便宜,处理SMT的有用和合理的技术，名为“降落伞方法”。我们相信，这种技术将在内窥镜检查的配合手术中有更多的应用。
