Laparoscopic partial gastrectomy

GIST (b/w muscularis propria and muscularis mucosa, controversial to resect laparoscopically if over 5cm as higher malignancy rate, endoscopically have central punctate ulcer)
Carcinoid only if LN metastases unlikely

Position as for Nissen
Stand between legs
Nathanson
Divide gastrocolic omentum
Dissect down toward pylorus and divide right gastroepiploic
Divide lesser omentum and clip right gastric artery
25mm bumgun stapler with anvil in duodenum for Bilroth 1 (need pliable duodenum with stomach remnant that will come down without tension

12% leak rate in one series