Hand-assisted laparoscopic surgery for a large gastrointestinal stromal tumor of the stomach
| Autor: | Shigeru Okamoto, Takushi Monden, Hirotoshi Takemoto, Hiroshi Yano, Mitsunobu Imasato, Yutaka Kimura, Takashi Iwazawa |
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| Rok vydání: | 2005 |
| Předmět: |
Laparoscopic surgery
Male Cancer Research medicine.medical_specialty Gastrointestinal Stromal Tumors medicine.medical_treatment Malignancy Stomach Neoplasms medicine Humans Stromal tumor medicine.diagnostic_test GiST business.industry Stomach Gastroenterology Magnetic resonance imaging General Medicine Middle Aged medicine.disease Magnetic Resonance Imaging Surgery medicine.anatomical_structure Oncology Female Laparoscopy Radiology business Abdominal surgery Wedge resection (lung) |
| Zdroj: | Gastric cancer : official journal of the International Gastric Cancer Association and the Japanese Gastric Cancer Association. 8(3) |
| ISSN: | 1436-3291 |
| Popis: | We report two cases of large gastrointestinal stromal tumor (GIST) of the stomach that were successfully treated by hand-assisted laparoscopic surgery (HALS). Two patients, a 56-year-old woman and a 60-year-old man, were admitted to our department for the treatment of a large submucosal tumor of the stomach. After gastrointestinal endoscopy, ultrasonography, computed tomography, and magnetic resonance imaging, we suspected that the masses, measuring 7.0 cm and 8.0 cm in diameter, respectively, were GISTs in the stomach. However, preoperatively, we could not rule out the possibility of malignant neoplasms, because they had been bleeding or gradually growing. Hand-assisted laparoscopic wedge resection was safely performed for the diagnosis and treatment of the submucosal tumor of the stomach. The immunohistochemical diagnosis in both patients was GIST of the stomach with intermediate-grade malignancy. HALS may be a good indication for large GISTs of the stomach that are difficult to diagnose preoperatively, whether they are malignant or benign, because it is safe and minimally invasive, promoting rapid recovery. |
| Databáze: | OpenAIRE |
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