Abstract
Endoscopic resection of gastrointestinal tumors is being performed with increased
frequency. Submucosal mass lesions pose a particular problem, because of the risk
of malignancy and the risk of complications associated with endoscopic removal. Increased
incidences of both perforation and bleeding have been reported. We report here on
a case in which we used a combined approach that included gastrointestinal endoscopy,
laparoscopy, and laparoscopic ultrasound to resect a gastric leiomyoma. We consider
that this approach enhanced our diagnostic capabilities, provided intraoperative options
for resection, and enhanced the safety of the procedure.
