Laparoscopic resection for gastrointestinal stromal tumors of the stomach

Predictors of Recurrence After Resection of Small Gastric Gastrointestinal Stromal Tumors of 5 cm or Less

“…16 Laparoscopic resection may be suggested as a reasonably feasible procedure for patients with low-risk smaller gastric GISTs of 5 cm or less despite the risks for positive resection margin and port site recurrence. [17][18][19][20][21][22][23] Moreover, several small case series have studied endoscopic resection of GIST. 24 One of the major concerns of endoscopic resection is an inability to obtain sufficient resection margin.…”

Endoscopic Resection of Small Gastrointestinal Stromal Tumors

“…One of these new choices is laparoscopic surgery. Although the National Comprehensive Cancer Network (NCCN) Clinical Practice Guidelines for the Optimal Management of Patients with GIST suggests that laparoscopic techniques should be limited to tumors measuring less than 2 cm [7], several researches reported successful and safe resection of larger GISTs of the stomach with the laparoscopic approach [17][18][19][20][21], and indicated that initial laparoscopy is feasible to resect a gastric GIST when the tumor size is relatively small (2-5 cm), with similar local recurrence rates to open procedures, low morbidity, short hospital stays, and longterm disease-free survival. Furthermore, Nakamori et al [22] suggested that a laparoscopic approach may be the Low risk 3 12 Intermediate risk 1 4 preferred resection strategy in most patients with mediumsized gastric GISTs in the future.…”

Laparoscopic Single-stapling Gastric Transection for Exophytic Pedunculated Gastrointestinal Stromal Tumor

“…9 Resections of gastric GISTs have traditionally been performed by laparotomy; however, laparoscopy is increasingly adopted and a number of comparative studies have recently reported encouraging perioperative and long-term outcomes. [10][11][12][13][14][15] There are still no clear guidelines and, according to the recommendations of the National Comprehensive Cancer Network, laparoscopy should only be used for GISTs measuring <2 cm. 16 In the present study, we report the surgical technique used in a rare case of exophytic GIST in the abdominal cavity with a long peduncle and the role of a correct preoperative CT and MRI study.…”