Minimally invasive technique for gastric GIST at challenging locations

Autor: Jurrien Stiekema, Joanna Luttikhold, David Heineman, Maarten Neerincx, Freek Daams
Přispěvatelé: VU University medical center, Surgery, Amsterdam Gastroenterology Endocrinology Metabolism, Cardio-thoracic surgery, Cancer Center Amsterdam, CCA - Cancer Treatment and quality of life
Jazyk: angličtina
Rok vydání: 2023
Předmět:
Zdroj: Updates in Surgery. Springer-Verlag Italia Srl
Stiekema, J, Luttikhold, J, Heineman, D, Neerincx, M & Daams, F 2023, ' Minimally invasive technique for gastric GIST at challenging locations : single incision surgical gastroscopy ', Updates in Surgery, vol. 75, no. 4, pp. 953-958 . https://doi.org/10.1007/s13304-023-01484-w
ISSN: 2038-131X
Popis: Organ sparing resection of gastrointestinal stromal tumors (GISTs) located in the proximal stomach or esophagogastric junction can be challenging, resulting in proximal or total gastrectomy to facilitate a radical resection without tumor spill. We developed and evaluated a single incision surgical gastroscopy (SISG) procedure to provide a technically feasible alternative for the removal of gastric GISTs at these challenging locations. We developed an endoluminal resection of gastric GISTs through a small single abdominal incision and longitudinal ventral gastrotomy. Patients with a proximal tumor location, in whom a wedge resection was deemed challenging on pre-operative investigation were included in the current series. Safety, short-term oncological and surgical outcome were evaluated. We performed SISG in six consecutive patients with histopathological proven or suspected gastric GIST. In all patients, the procedure was performed successfully with no tumor rupture. The mean operative time was 61 min and there were no significant complications. Pathological examination showed a microscopically radical resection in all patients. Single incision surgical gastroscopy is a feasible technique with excellent short-term oncological and surgical outcomes. This technique serves as a good alternative for complicated resections for gastric GISTs at challenging locations.
Databáze: OpenAIRE
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