Background: Gastrointestinal stromal tumors are rare neoplasms involving the entire digestive system, in particular the stomach. Generally, laparoscopic wedge resection is the preferred means of treating anterior lesions, while the preferred means of treating tumors in the posterior wall and near the esophagogastric junction remains controversial. Case Report: We report the case of a patient with a gastric stromal tumor in the posterior wall of the greater curvature approximately 3 cm from the esophagogastric junction. Under intraoperative ultrasonic guidance, a large wedge resection was done using an ultrasonic scalpel; the gastric wall was reconstructed through a long intracorporeal suture. At 6-month follow-up, the patient was free from tumor recurrence. Conclusions: If a meticulous surgical technique is followed, laparoscopic wedge resection is a safe and feasible means of treating gastric stromal tumors in the posterior wall near the esophagogastric junction.

Laparoscopic wedge resection of a midsized gastrointestinal stromal tumor near the esophagogastric junction / U. Cioffi, M. De Simone, P.P. Bianchi, M. Rottoli, M. Montorsi. - In: MEDICAL SCIENCE MONITOR. - ISSN 1234-1010. - 14:6(2008 Jun), pp. CS50-CS53.

Laparoscopic wedge resection of a midsized gastrointestinal stromal tumor near the esophagogastric junction

U. Cioffi
Primo
;
M. De Simone
Secondo
;
P.P. Bianchi;M. Rottoli
Penultimo
;
M. Montorsi
Ultimo
2008

Abstract

Background: Gastrointestinal stromal tumors are rare neoplasms involving the entire digestive system, in particular the stomach. Generally, laparoscopic wedge resection is the preferred means of treating anterior lesions, while the preferred means of treating tumors in the posterior wall and near the esophagogastric junction remains controversial. Case Report: We report the case of a patient with a gastric stromal tumor in the posterior wall of the greater curvature approximately 3 cm from the esophagogastric junction. Under intraoperative ultrasonic guidance, a large wedge resection was done using an ultrasonic scalpel; the gastric wall was reconstructed through a long intracorporeal suture. At 6-month follow-up, the patient was free from tumor recurrence. Conclusions: If a meticulous surgical technique is followed, laparoscopic wedge resection is a safe and feasible means of treating gastric stromal tumors in the posterior wall near the esophagogastric junction.
gastrointestinal stromal tumor ; laparoscopic wedge resection ; gastric surgery ; intraoperative ultrasound
Settore MED/18 - Chirurgia Generale
giu-2008
http://www.medscimonit.com/fulltxt.php?ICID=859024
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/2434/39365
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