How to Remove Gastric Leiomyoma

Gastric leiomyoma is a type of benign tumor that develops in the smooth muscle layer of the stomach. In cases where the tumor is relatively small, endoscopic treatment has proven to be highly effective. Thanks to rapid advancements in endoscopic techniques, tumors measuring less than 2cm can now be completely removed through the mucosal tunnel without the need for invasive surgery. This method allows for precise removal while preserving the integrity of the stomach wall. In some cases, full-thickness resection of the gastric wall can also be performed endoscopically, offering a minimally invasive and highly successful treatment option.

For patients with larger tumors—typically those exceeding 3cm—or those experiencing symptoms such as pressure or discomfort, surgical intervention may be necessary. Two primary surgical approaches are available: minimally invasive laparoscopic surgery and traditional open surgery. Laparoscopic treatment involves making small incisions on the abdominal wall to insert trocars and a laparoscope, allowing the surgeon to remove the tumor with minimal trauma to surrounding tissues. This technique is associated with faster recovery times and reduced postoperative pain compared to open surgery.

In summary, the choice of treatment depends on the size and location of the tumor, as well as the patient's overall health. Endoscopic removal is preferred for smaller lesions, while larger or symptomatic tumors may require laparoscopic or open surgical techniques. Early diagnosis and appropriate management are key to achieving the best outcomes. Patients should consult with a gastroenterologist or surgeon to determine the most suitable treatment plan based on individual circumstances.