Gastric Leiomyoma Removal Options and Treatment Methods

Gastric leiomyoma is a type of benign tumor that develops in the smooth muscle layer of the stomach. For smaller tumors, typically less than 2 cm in size, endoscopic treatment is the preferred approach. With recent advancements in endoscopic techniques, doctors can now perform full-thickness gastric wall resection through a mucosal tunnel, allowing for complete removal of the tumor with minimal invasion and excellent outcomes.

Endoscopic therapy offers several advantages, including faster recovery, fewer complications, and shorter hospital stays. This method avoids external incisions and directly accesses the tumor from within the gastrointestinal tract, making it ideal for early-stage or asymptomatic gastric leiomyomas.

However, when tumors grow larger than 3 cm and begin to cause symptoms such as abdominal discomfort or pressure, more aggressive treatment options may be necessary. In such cases, surgical intervention is often recommended. Surgery can be performed either as a minimally invasive laparoscopic procedure or as an open surgery, depending on the tumor's location and complexity.

Laparoscopic surgery involves making small incisions in the abdominal wall and inserting a laparoscope along with specialized instruments through trocars. This allows the surgeon to precisely remove the tumor while minimizing damage to surrounding tissues. Compared to traditional open surgery, laparoscopic treatment typically results in quicker recovery and reduced postoperative pain.

In summary, the choice of treatment for gastric leiomyoma depends on the tumor's size, location, and whether it is causing symptoms. Patients are advised to consult with a specialist to determine the most appropriate treatment plan based on their individual condition. Early diagnosis and timely intervention can significantly improve treatment outcomes and quality of life.