Laparoscopic/endoscocopic (LECS) cooperative resección of a big Gastric Gist

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Text Hybrid, cooperative endoscopic and laparoscopic techniques are a well-established alternative to the single approach for lesions challenging for one or the other access. We present the case of a 6 cm gastric gist of the gastric body that was initially attempted to be resected by dissection without success due to poor handling. A hybrid approach was decided by Lecs. Using a hybridknife I tipe, the lesion was dissected by endoscopy, under direct laparoscopic control, which was also used to control bleeding and manipulation of the lesion. Finally, the perforation was closed laparoscopically and the tightness of the closure was verified by endoscopy. Histológy correspond to a low grade Gist thas was removed en-block Video http://data.process.y-congress.com/ScientificProcess/Data//106/570/1428/0cb684ed-c0d0-4397-bf41-ebbb1c1d5f48/Uploads/16849_Lecs_simp%20ciru.mov Publication History Article published online: 27 March 2025 © 2025. European Society of Gastrointestinal Endoscopy. All rights reserved. Georg Thieme Verlag KG Oswald-Hesse-Straße 50, 70469 Stuttgart, Germany

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