Abstract
Introduction: In the present study investigated the laparoscopic management of gastric GIST in various locations in stomach.
Method: This study was retrospective review of all GIST patients admitted between Oct2015-Jan 2018 in our institute Fortis Memorial Research Institute were analysed. Patients demographics, clinical presentation, tumour characteristics, radiological, pathological and immunohistochemical findings, techniques of laparoscopic resection, recurrence , postoperative outcome were analysed.
Result: Total 18 patients were taken for laparoscopic excision of GIST tumor of these 16 patients were excised laparoscopically and 2 converted to open partial gastrectomy. In total of 16 patients, 13 patients resected laparoscopically and 3 patients were converted to open.
Conclusion: GIST larger than 5 cm should not be contraindication for laparoscopic resection but may require open surgery.
References
- Blay JY, Bonvalot S, Casali P, Choi H, Debiec-Richter M, Dei Tos AP, et al. Consensus meeting for the management of gastrointestinal stromal tumors. Report of the GIST Consensus Conference of 20–21 March 2004, under the auspices of ESMO. Ann Oncol. 2005;16:566–78.
- Demetri GD, von Mehren M, antonescu CR, DeMatteo RP, Ganjoo KN, Maki RG, Pisters PW, Raut CP, Riedel RF, Schuetze S, Sundar HM, Trent JC, Wayne JD. NCCN Task Force report: update on the management of patients with gastrointestinal stromal tumors. J Natl Compr Canc Netw2010; 8 Suppl 2: S1-S41; quiz S42-S44 [PMID: 20457867]
- Vogelaere K. De, Van Loo I, Peters.O, Hoorens .A etal Laparoscopic resection of gastrointestinal stromal tumours (GIST) is safe and effective, irrespective of tumor size Surgical Endoscopy August 2012, Volume 26, Issue 8, pp 2339–2345
- Marcelo de Paula , Rômulo ALMEIDIA , Christiano CLAUS , Eduardo BONIN, AntônioMoris VITAL etal Laparoscopic Resection Of Gastrointestinal Stromal Tumors (GIST) ABCD Arq Bras Cir Dig Original Article 2016;29(1):1-4.
- Ye L, Wu X, Wu T, Wu Q, Liu Z, Liu C, et al. (2017) Meta-analysis of laparoscopic vs. open resection of gastric gastrointes-tinal stromal tumors. PLoSONE 12(5): e0177193
- Jennifer, Pierce, Christopher, Hawkins, Matthews et al Laparoscopic gastric resection for gastrointestinal stromal tumors Surgical Endoscopy December 2008, Volume 22, Issue 12, pp 2583–2587.
- Sanjoy, Sam, Bennet , Davies etal, Laparospic resection of Gastrointestinal stromal tumour Surgical Endoscopy Oct 2007 , Vol 21, Issue 10 pp 1685- 1689
- Kim, Nguyen etal Laparoscopic resection of gastrointestinal stromal tumors: Does laparoscopic surgery provide an adequate oncologic resection? World J Gastrointest Endosc2017 September 16; 9(9): 448-455.
Corresponding Author
Priyanka Tiwari
Department of Minimal Access Bariatric Gastro Intestinal Surgery
Fortis Memorial Research Institute Gurugram