• Skip to primary navigation
  • Skip to main content
  • Skip to footer

SAGES

Reimagining surgical care for a healthier world

  • Home
    • Search
    • SAGES Home
    • SAGES Foundation Home
  • About
    • Who is SAGES?
    • SAGES Mission Statement
    • Advocacy
    • Strategic Plan, 2020-2023
    • Committees
      • Request to Join a SAGES Committee
      • SAGES Board of Governors
      • Officers and Representatives of the Society
      • Committee Chairs and Co-Chairs
      • Full Committee Rosters
      • SAGES Past Presidents
    • Donate to the SAGES Foundation
    • SAGES Store
    • Awards
      • George Berci Award
      • Pioneer in Surgical Endoscopy
      • Excellence In Clinical Care
      • International Ambassador
      • IRCAD Visiting Fellowship
      • Social Justice and Health Equity
      • Excellence in Community Surgery
      • Distinguished Service
      • Early Career Researcher
      • Researcher in Training
      • Jeff Ponsky Master Educator
      • Excellence in Medical Leadership
      • Barbara Berci Memorial Award
      • Brandeis Scholarship
      • Advocacy Summit
      • RAFT Annual Meeting Abstract Contest and Awards
    • “Unofficial” Logo Products
  • Meetings
    • NBT Innovation Weekend
    • SAGES Annual Meeting
      • 2024 Scientific Session Call For Abstracts
      • 2024 Emerging Technology Call For Abstracts
    • CME Claim Form
    • Industry
      • Advertising Opportunities
      • Exhibit Opportunities
      • Sponsorship Opportunities
    • Future Meetings
    • Related Meetings Calendar
  • Join SAGES!
    • Membership Benefits
    • Membership Applications
      • Active Membership
      • Affiliate Membership
      • Associate Active Membership
      • Candidate Membership
      • International Membership
      • Medical Student Membership
    • Member News
      • Member Spotlight
      • Give the Gift of SAGES Membership
  • Patients
    • Healthy Sooner – Patient Information for Minimally Invasive Surgery
    • Patient Information Brochures
    • Choosing Wisely – An Initiative of the ABIM Foundation
    • All in the Recovery: Colorectal Cancer Alliance
    • Find a SAGES Member
  • Publications
    • SAGES Stories Podcast
    • SAGES Clinical / Practice / Training Guidelines, Statements, and Standards of Practice
    • Patient Information Brochures
    • TAVAC – Technology and Value Assessments
    • Surgical Endoscopy and Other Journal Information
    • SAGES Manuals
    • SCOPE – The SAGES Newsletter
    • COVID-19 Annoucements
    • Troubleshooting Guides
  • Education
    • OpiVoid.org
    • SAGES.TV Video Library
    • Safe Cholecystectomy Program
      • Safe Cholecystectomy Didactic Modules
    • Masters Program
      • SAGES Facebook Program Collaboratives
      • Acute Care Surgery
      • Bariatric
      • Biliary
      • Colorectal
      • Flexible Endoscopy (upper or lower)
      • Foregut
      • Hernia
      • Robotics
    • Educational Opportunities
    • HPB/Solid Organ Program
    • Courses for Residents
      • Advanced Courses
      • Basic Courses
    • Fellows Career Development Course
    • Robotics Fellows Course
    • MIS Fellows Course
    • Facebook Livestreams
    • Free Webinars For Residents
    • SMART Enhanced Recovery Program
    • SAGES OR SAFETY Video
    • SAGES at Cine-Med
      • SAGES Top 21 MIS Procedures
      • SAGES Pearls
      • SAGES Flexible Endoscopy 101
      • SAGES Tips & Tricks of the Top 21
  • Opportunities
    • NEW-Area of Concentrated Training Seal (ACT)-Advanced Flexible Endoscopy
    • SAGES Fellowship Certification for Advanced GI MIS and Comprehensive Flexible Endoscopy
    • Multi-Society Foregut Fellowship Certification
    • SAGES Research Opportunities
    • Fundamentals of Laparoscopic Surgery
    • Fundamentals of Endoscopic Surgery
    • Fundamental Use of Surgical Energy
    • Job Board
    • SAGES Go Global: Global Affairs and Humanitarian Efforts
  • Search
    • Search All SAGES Content
    • Search SAGES Guidelines
    • Search the Video Library
    • Search the Image Library
    • Search the Abstracts Archive
  • OWLS
  • Log In

Laparoscopic Management of Gastrointestinal Stromal Tumours At a Canadian Institution

INTRODUCTION: The purpose of this study is to review the laparoscopic management of Gastrointestinal Stromal Tumors (GISTS). Gastrointestinal stromal tumours are rare gastrointestinal cancers (0.1-3.0%). Complete resection of the tumour is the definitive management. In most institutions, traditional open resection of GISTs is the gold standard based on currently available evidence-based medicine. In several case series reports in Europe, United States and Asia, it has been well documented that GISTs can be managed laparoscopically. There has only been one small published Canadian experience of laparoscopic management of these tumours.

METHODS AND PROCEDURES: A detailed analysis of a prospectively collected database was performed on all patients who underwent a laparoscopic resection of a GIST at Vancouver General Hospital from 2000-2008. The primary outcomes included the success of surgical intervention (i.e. clear margin/pathology results) and post-operative complications (early and late). Other parameters examined included demographics, diagnostic workup, follow-up time and recurrence rates.

RESULTS: A total of twenty-four patients underwent laparoscopic GIST resection (10 male and 14 female). The average patient age was sixty-one with an average BMI of 25.5 kg/m2. Abdominal pain and gastrointestinal bleeding were the most common presenting symptoms (41.7%) and GIST was found incidentally in 25% of patients. The majority of patients underwent endoscopic ultrasound (70.8%) for diagnosis (vs. 20.8 % biopsy and 12.5% CT scan). The average length of hospital stay was 5 days and there was a 16.7% conversion rate to open resection. There was one early complication and two late complications. The average tumour size was 3.0cm (min. 0.6cm, max. 6.8cm) and all margins were negative. The mean follow-up time was 13.1 months, with no evidence of recurrence. The majority of GISTs were found in either the body (41.7%) or fundus (37.5%) of the stomach. Over 91% of patients had a low grade tumour. Two patients (8.3%) had a moderate grade tumour and required post-operative chemotherapy with GLEEVEC.

CONCLUSIONS: This is the largest Canadian study to report on the laparoscopic management of gastrointestinal stromal tumours. As compared to previously published reports, the laparoscopic management of gastrointestinal stromal tumours is safe and effective with short hospital stays and good long term results.


Session: Poster

Program Number: P316

View Poster

142

Share this:

  • Twitter
  • Facebook
  • LinkedIn
  • Pinterest
  • WhatsApp
  • Reddit

Related

Hours & Info

11300 West Olympic Blvd, Suite 600
Los Angeles, CA 90064
1-310-437-0544
[email protected]
Monday - Friday
8am to 5pm Pacific Time

Find Us Around the Web!

  • Facebook
  • Twitter
  • YouTube

Important Links

SAGES 2023 Meeting Information

Healthy Sooner: Patient Information

SAGES Guidelines, Statements, & Standards of Practice

SAGES Manuals

 

  • taTME Study Info
  • Foundation
  • SAGES.TV
  • MyCME
  • Educational Activities

Copyright © 2023 Society of American Gastrointestinal and Endoscopic Surgeons