Gastrointestinal Stromal Tumors (GIST) and Laparoscopic Resection

Overview

Journal Surg Endosc

Publisher Springer

Specialties Gastroenterology
General Surgery
Radiology

Date 2007 Jul 31

PMID 17661137

Citations 23

Authors

Sanjoy Basu

Sam Balaji

David H Bennett

Nick Davies

Affiliations

Soon will be listed here.

Abstract

Aim: To review management, outcome and the lessons learnt from a laparoscopic approach to GISTs.

Method: All cases of GIST presenting to the upper GI MDT between 2000 and 2006 were reviewed. Presentation, preoperative investigations, management and follow-up were recorded. Surgical resection using a laparoscopic approach, where feasible was the preferred management.

Results: 25 consecutive patients that included one oesophageal, three oesophago-gastric, 19 gastric and two smallbowel GISTs were treated between 2000 and 2006. There were 11 male and 14 females with a median age of 68 (25-90) years. Clinical presentation was: gastrointestinal bleed 15, pain 6, dysphagia 2, anaemia 3, weight loss 1, and asymptomatic 2. Out of 25, four were inoperable and treated with imatinib. 17 laparoscopic (including 2 conversions) and four open procedures were performed. Two (both GISTs close to the oesophago-gastric junction) required reoperation due to surgical-related morbidity. Of the 25, five were high-, 11 intermediate- and nine low-risk GISTs. No recurrences in follow-up (median 24, range 6-75) months was observed.

Conclusion: GISTs can safely and effectively be treated laparoscopically although larger GISTs in difficult anatomical locations may require open surgery.

Citing Articles

Laparoscopic resection of gastrointestinal stromal tumors: Does laparoscopic surgery provide an adequate oncologic resection?.

Kim J, Lim J, Nguyen S World J Gastrointest Endosc. 2017; 9(9):448-455.

PMID: 28979709 PMC: 5605344. DOI: 10.4253/wjge.v9.i9.448.

Laparoscopic Versus Open Resection of Small Bowel Gastrointestinal Stromal Tumors: Systematic Review and Meta-Analysis.

Chen K, Zhang B, Liang Y, Ji L, Xia S, Pan Y Chin Med J (Engl). 2017; 130(13):1595-1603.

PMID: 28639576 PMC: 5494924. DOI: 10.4103/0366-6999.208249.

Incidental Finding of Gastrointestinal Stromal Tumors during Laparoscopic Sleeve Gastrectomy in Obese Patients.

Viscido G, Signorini F, Navarro L, Campazzo M, Saleg P, Gorodner V Obes Surg. 2017; 27(8):2022-2025.

PMID: 28185152 DOI: 10.1007/s11695-017-2583-z.

Laparoscopic Wedge Resection of Gastric Stromal Tumor (GIST).

Samardzic J, Hreckovski B, Hasukic I, Hasukic S Med Arch. 2015; 69(3):203-5.

PMID: 26261393 PMC: 4500382. DOI: 10.5455/medarh.2015.69.203-205.

Laparoscopic versus open wedge resection for gastrointestinal stromal tumors of the stomach: a single-center 8-year retrospective cohort study of 156 patients with long-term follow-up.

Cai J, Chen K, Mou Y, Pan Y, Xu X, Zhou Y BMC Surg. 2015; 15:58.

PMID: 25956520 PMC: 4438531. DOI: 10.1186/s12893-015-0040-2.

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