J Gastric Cancer.  2011 Dec;11(4):239-242.

Totally Laparoscopic Resection for a Large Gastrointestinal Stromal Tumor of Stomach

Affiliations
  • 1Department of Surgery, Incheon St. Mary's Hospital, The Catholic University of Korea, Incheon, Korea. kjj@catholic.ac.kr

Abstract

A debate is currently ongoing about whether a large gastrointestinal stromal tumor (GIST) should be treated by the laparoscopic approach because of the increased risk of tumor rupture during manipulation of the tumor with laparoscopic instruments and the resultant peritoneal tumor dissemination. Herein, we report a case of a large GIST of the stomach which was successfully treated by the laparoscopic approach. A 57 year old female patient visited our institution complaining of postprandial epigastric discomfort. An esophagogastroduodenoscopy and an abdominal computed tomography scan revealed a 10x8 cm sized submucosal tumor at the greater curvature side of the gastric antrum. The patient underwent laparoscopic distal gastrectomy with intracorporeal Billroth-II reconstruction without any breakage of the tumor. Her postoperative course was uneventful and she was discharged on the 7th postoperative day. Even a large GIST of the stomach can safely be treated by the laparoscopic approach when it is performed with proper techniques by an experienced surgeon.

Keyword

Gastrointestinal stromal tumor; Stomach; Laparoscopy

MeSH Terms

Endoscopy, Digestive System
Female
Gastrectomy
Gastrointestinal Stromal Tumors
Humans
Laparoscopy
Pyloric Antrum
Rupture
Stomach
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