Ann D Smith, MD, MPH, Jaroslav Zivny, MD, Richard A Perugini, MD. University of Massachusetts
Gastrointestinal stromal tumors (GISTs) are rare and the only opportunity for cure is total surgical resection with gross negative margins. National Comprehensive Cancer Network (NCCN) guidelines from 2010 recommend laparoscopic resection for tumors up to 5cm but recommend open surgery for tumors of 5cm or greater. However, multiple studies have now shown that laparoscopic or laparoendoscopic surgical resection of these tumors is feasible and gives a comparable oncologic resection as long the tumor capsule is not violated and there is a way to remove the larger masses through a laparoscopic incision. Two patients presented to us with a similar picture: severe anemia and gastric outlet obstruction. Workup revealed they both had 8.5cm submucosal gastric masses. Masses of this size have the potential to be malignant GISTs. Pre-operative workup showed no evidence of metastatic disease and so resection was recommended for both which we performed laparoendoscopically using the transgastric technique. One mass returned as a low risk GIST and the other was a benign lipoma.
Presented at the SAGES 2017 Annual Meeting in Houston, TX.
Abstract ID: 95752
Program Number: V226
Presentation Session: Video Loop Day 2
Presentation Type: VideoLoop