Gastric Leiomyoma Surgery: Is It Minimally Invasive?

Gastric leiomyomas are typically benign growths with a very low risk of becoming malignant. Currently, minimally invasive techniques are the primary treatment approach for such tumors. Since these tumors are often located beneath the mucosal layer, doctors usually perform ESD (Endoscopic Submucosal Dissection), a specialized endoscopic procedure that allows for precise removal of the lesion.

When the tumor size exceeds 3cm, endoscopic removal becomes more challenging, and laparoscopic surgery may be recommended as a minimally invasive alternative. This method involves small incisions and generally leads to favorable outcomes. Patients experience minimal postoperative discomfort and typically do not require extensive recovery periods or special care following the procedure. Regular follow-up appointments are advised to monitor for recurrence.

In more complex cases, such as when the tumor is larger than 8cm or has spread to surrounding organs, open surgery may be necessary. However, these situations are relatively rare. Advances in surgical techniques have significantly improved the treatment of gastric leiomyomas, offering patients effective and less invasive options.

Choosing the appropriate surgical method depends on the tumor's size, location, and the patient's overall health condition. Consulting with a specialist ensures that each patient receives a tailored treatment plan based on their specific needs.