6533b873fe1ef96bd12d5667
RESEARCH PRODUCT
Combined endo-laparoscopic treatment of large gastrointestinal stromal tumor of the stomach: Report of a case and literature review
Salvatore BuscemiGiulia BonventreAntonino AgrusaGiorgio RomanoGiuseppe Di BuonoElisa Maienzasubject
Laparoscopic surgerymedicine.medical_specialtymedicine.medical_treatmentCase ReportLaparoscopic surgery03 medical and health sciences0302 clinical medicinemedicineStromal tumorLaparoscopySurgical teammedicine.diagnostic_testGiSTbusiness.industryStandard treatmentStomachLaparo-endoscopic surgeryEndoscopydigestive system diseasesEndoscopySurgerymedicine.anatomical_structure030220 oncology & carcinogenesis030211 gastroenterology & hepatologySurgeryWedge gastric resectionbusinessGISTdescription
Highlights • We report a case of 75-year-old Caucasian men with unknown voluminous gastric GIST, who came to our attention complaining melena. We decided to perform a laparoscopic-endoscopic combined surgical approach. • Intraoperative endoscopy identified gastric GIST and confirmed the submucosal origin and the integrity of the capsule. A 10 cm laparoscopic gastrotomy was carried out along the gastric found in order to realize a laparo-endoscopic rendez-vous technique. • Laparoscopy has rapidly become a preferable approach for gastric GISTs surgical treatment. The magnified view and the lesser invasiveness of laparoscopic technique allow the surgeon to perform a more meticulous dissection, preventing unexpected bleeding and causing less muscular trauma and less bowel manipulation. All these favourable short-term outcomes associated with laparoscopy do not compromise oncologic results.
year | journal | country | edition | language |
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2020-09-01 | International Journal of Surgery Case Reports |