Endoscopic-assisted laparoscopic resection for XXXX .

@entity1 @entity5 @entity356
BACKGROUND: Laparoscopic resection is considered the treatment of choice for @entity356 . Occasionally, it is necessary to perform an intraoperative gastroscopy to localize the lesion. There are no data in the literature addressing the factors that can predict when a combined laparoscopic-endoscopic approach will be needed. METHODS: A retrospective cohort study using a prospectively collected database was conducted. From January 2005 to December 2013, all the @entity1 undergoing a laparoscopic gastric resection for @entity5 irresectable by endoscopy were reviewed. Potential predictive factors for the need of an intraoperative endoscopy were analyzed. RESULTS: Thirty-eight consecutive @entity1 (22 @entity1 and 16 @entity1 ) with a mean age of 67 (41-86) years underwent laparoscopic gastric resection for @entity5 . Fourteen (36.8  %) @entity1 required intraoperative endoscopic assessment. The only significant factors related to the need of endoscopic assessment during surgery were @entity5 growth pattern (P  =  0.002) and size (P  =  0.001). CONCLUSIONS: An accurate description of @entity5 growth pattern and size by EUS is recommended in the preoperative assessment of @entity356 . Small @entity5 ( <=18  mm) with an intraluminal growth may need a combined endoscopic-assisted laparoscopic management.
