Gastric Gastrointestinal tumours – laparoscopic treatment

Lukas Sakra, MD, PhD, Maria Hacova, MD, Jiri Siller, MD, PhD

Surgical Dept. Pardubice, Czech Republic

Introduction: This study was aimed to evaluate a set of gastrointestinal stromal tumors (GIST) of the stomach managed with a laparoscopic technique.

Methods and Procedures: The study covers a period from January 1, 2007 until December 31, 2011 during which 17 patients underwent the laparoscopic removal of stomach GIST in the General Hospital in Pardubice. In all cases tumors were removed in a laparoscopic way, including the healthy border of the stomach tissue.

Results: No death was observed in our study. Two patients suffered from wound infection (secondary healing), one of them requiring repeat surgery owing to the excessive narrowing of the distal part of the stomach. Dehiscence of laparoscopic sutures or other intraabdominal complications were not observed. During monitoring all patients were free of signs of local recurrence, but tumor progression into the liver was observed in one patient.

Conclusion: GISTs are very rare tumors but their incidence is increasing. At this time the consensus about the necessity of preoperative unambiguous differentiation between malignant or less malignant variants is not available. The strict differentiation is very difficult and the determination whether to choose a more radical surgical approach for more malignant variants is not clear-cut. In case of gastric GISTs the local removal of a tumor with the healthy border of the stomach tissue may be chosen as an adequate approach. Our results support this local surgical approach.

Session: Poster Presentation

Program Number: P523

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