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In this note, we present laparoscopy-assisted endoscopic full-thickness gastric resection with lymphatic mapping–guided regional lymphadenectomy for a G2 gastric neuroendocrine tumor located on the lesser curvature. The procedure achieved complete R0 resection, node-negative status, and uneventful recovery with no recurrence. This experience supports further evaluation of hybrid strategies in selected localized gastric neuroendocrine lesions.
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