Laparoscopic wedge resection for gastric GIST: Long-term follow-up results

Surgical management of gastrointestinal stromal tumours

“…At a mean follow-up of 36 months, Novitsky and co-workers 23 reported a 92 per cent disease-free survival rate in 50 patients who had laparoscopic gastric resection. Similarly, at 5-year follow-up, Choi and colleagues 26 reported no recurrences or liver metastases in 23 patients who had wedge resection. As the mean time to recurrence after surgery for GISTs is 12-24 months 46,47 , the relatively short follow-up in these series probably allows an adequate assessment of outcome.…”

Laparoscopic Wedge Resection for Gastric Submucosal Tumors: A Size-Location Matched Case-Control Study

“…5 Yet, LWR for gastric GISTs smaller than 5 cm has become a popular and feasible surgical procedure in Eastern countries. 11,14,15 Additionally, modified wedge resections, such as the transgastric technique, and extensive resections, such as distal gastrectomy, have been applied to laparoscopic procedures, depending on the location of the tumor. 6,13,16 To overcome the debate on the operation and the standardization of diverse operations according to size and location, we designed a case-control study matching size and location based on 50 LWR patients.…”

Surgical Treatment of Gastrointestinal Stromal Tumors (GISTs)

“…The learning curve in the laparoscopic procedures indicates that, with better technical experience, the surgical times will be gradually improved (Shin 2005;Avital, Hermon et al 2006). Although the follow-up data of the patients are scarce, not exceeding ~ 5 years of duration (Hohenberger and Eisenberg 2010), some series described similar oncologic efficacy in the laparoscopic procedures when compared with those obtained with conventional surgery (Otani, Ohgami et al 2000;Novitsky, Kercher et al 2006;Choi, Kim et al 2007) The applicability of the laparoscopic approach must, therefore, be based in a variety of factors, including the characteristics of patient, dimension and the macroscopic morphology of the tumor, the pattern of invasion and the localization of the tumor, as well as the experience and qualification in laparoscopic surgery of the surgeon (Novitsky, Kercher et al 2006). The data from the literature indicate that laparoscopic resections or assisted by laparoscopy are feasible and associated with reduced rates of recurrence, short periods of internment and low morbidity (Otani, Ohgami et al 2000;Novitsky, Kercher et al 2006;Otani, Furukawa et al 2006;Nishimura, Nakajima et al 2007;Huguet, Rush et al 2008;Nakamori, Iwahashi et al 2008).…”