Cooperative laparoscopic endoscopic and hybrid laparoscopic surgery for upper gastrointestinal tumors: Current status

Figure 2 Endoscope-assisted laparoscopic wedge resection. A: The tumor is located by endoscopy and laparoscopy; two laparoscopic stay sutures are placed; B: Traction by the stay sutures creates tenting of the gastric wall; C: An endoscopic stapler is applied at the normal gastric wall distally to the tumor under endoscopic control; D: Full thickness resection with everted stapling of the gastric wall.