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Title
1. Placement of Umbilical Port
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a. Incise Skin and Dissect Down to Fascia
b. Place Fascial Stay Suture and Open Fascia and Peritoneum
c. Sweep any Abdominal Structures away from Port Site with Finger Sweep
d. Place Umbilical Port
2. Inspection of Abdominal Contents
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a. General Inspection
b. Identify any Peritoneal Adhesions
c. Placement of Lateral Ports Under Direct Vision via Umbilical Port
3. Identification and Mobilization
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a. Identification of Stomach and Greater Omentum
b. Mobilization of Greater Omentum and Entry into Lesser Sac
c. Identification of Mass
4. Excision of Mass
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a. Endo GIA Stapler with 45-mm Load Used to Staple Across Base of Mass
5. Lysis of Adhesions
6. Closure
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a. Removal of Specimen via Endo Catch Bag
b. Inspection of Abdominal Contents and Gastric Staple Line
c. Fascial Closure
d. Infiltration of Local Anesthetic
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Laparoscopic Gastric Wedge Resection for a GIST
Vahagn G. Hambardzumyan, MD
1
;
Martin Goodman, MD
2
1
Yerevan State Medical University, Heratsi Hospital Complex
2
Tufts University School of Medicine
Tags:
General Surgery
Oncologic Surgery
Multidisciplinary Surgery
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Procedure Outline
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Authors
Vahagn G. Hambardzumyan, MD
Martin Goodman, MD
Filmed At:
Tufts University School of Medicine
Article Information
Publication Date
12/18/2024
Article ID
11
Production ID
0066
Volume
2024
Issue
11
DOI
https://doi.org/10.24296/jomi/11