Jordan D Bowling, MD, Peter H Liu, MD, PhD, Scott Nguyen, MD. Mount Sinai Hospital
Gastrointestinal stromal tumors (GISTs) account for less than 1% of GI tumors. There are approximately 5000 new cases annually within the united states. Approximately 50-70% of GISTs originate in the stomach. Of these tumors, 70% in the body, 15% occur in the cardia and fundus, and 15% in the antrum.
As most of the tumors occur in the body, the typical location is on the greater curve of the stomach. Our aim is to present two atypical locations for GISTs of the stomach and the surgical approach to these tumors.
First, a tumor of the lesser curve. It is of extreme importance while entering the lesser sac via entry through the pars flacida of the hepatogastric ligament, one must delineate the left gastric artery and possible hepatic artery anomalies. Our second case demonstrates a tumor on the anterior wall located near the fundus and cardia. As in performing a fundoplication dissection, one must be cognizant of the vagus nerves.
We hope that this video helps to elucidate the surgical approach to atypical GISTs of the stomach by demonstrating our technique.
Presented at the SAGES 2017 Annual Meeting in Houston, TX.
Abstract ID: 88182
Program Number: V193
Presentation Session: Wednesday Video Loop (Non CME)
Presentation Type: VideoLoop