Laparoscopic resection for gastrointestinal stromal tumors in the stomach

Yoshihiro Kakeji, Tomonori Nakanoko, Rintaro Yoshida, Kojiro Eto, Ryuichi Kumashiro, Keisuke Ikeda, Akinori Egashira, Hiroshi Saeki, Eiji Oki, Masaru Morita, Tetsuo Ikeda, Yoshihiko Maehara

Research output: Contribution to journalArticle

12 Citations (Scopus)

Abstract

Purpose Gastrointestinal stromal tumors (GISTs) should be surgically resected, even those smaller than 5 cm in size, which is the threshold of clinical malignancy for submucosal tumors (SMTs) in the gastrointestinal tract. This study reviewed the use of laparoscopic surgery for gastric partial resection of GISTs or SMTs that were suspected to be GISTs. Methods Eighteen patients underwent laparoscopic partial resection of the stomach for GISTs or SMTs. The tumor location was confirmed by intraluminal endoscopy. One-half of the circumference around the tumor was dissected, and the tumor was turned toward the abdominal cavity. The nonresected part of the tumor and the edge of the incision line was lifted up using forceps, and the incision line was closed using laparoscopic stapling devices. Results Two cases were diagnosed as GIST by endoscopic biopsy. Six patients underwent endoscopic ultrasound- guided fine-needle aspiration biopsy (EUS-FNAB) examinations, which diagnosed five GISTs. There were 18 tumors smaller than 5 cm, including 10 GISTs, 4 leiomyomas, 3 schwannomas, and one heterotopic pancreas. Conclusions Endoscopic ultrasound-guided FNAB is recommended for definite preoperative diagnosis of histopathologically unknown SMTs to determine the indications for surgery. The laparoscopic approach with the assistance of endoscopy is useful for improving the curability, with minimal invasiveness for the partial resection of GISTs.

Original languageEnglish
Pages (from-to)554-558
Number of pages5
JournalSurgery Today
Volume42
Issue number6
DOIs
Publication statusPublished - Jun 1 2012

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Gastrointestinal Stromal Tumors
Stomach
Neoplasms
Endoscopy
Endoscopic Ultrasound-Guided Fine Needle Aspiration
Abdominal Cavity
Neurilemmoma
Leiomyoma
Fine Needle Biopsy
Surgical Instruments
Laparoscopy
Gastrointestinal Tract
Pancreas
Biopsy
Equipment and Supplies

All Science Journal Classification (ASJC) codes

  • Surgery

Cite this

Kakeji, Y., Nakanoko, T., Yoshida, R., Eto, K., Kumashiro, R., Ikeda, K., ... Maehara, Y. (2012). Laparoscopic resection for gastrointestinal stromal tumors in the stomach. Surgery Today, 42(6), 554-558. https://doi.org/10.1007/s00595-011-0072-x

Laparoscopic resection for gastrointestinal stromal tumors in the stomach. / Kakeji, Yoshihiro; Nakanoko, Tomonori; Yoshida, Rintaro; Eto, Kojiro; Kumashiro, Ryuichi; Ikeda, Keisuke; Egashira, Akinori; Saeki, Hiroshi; Oki, Eiji; Morita, Masaru; Ikeda, Tetsuo; Maehara, Yoshihiko.

In: Surgery Today, Vol. 42, No. 6, 01.06.2012, p. 554-558.

Research output: Contribution to journalArticle

Kakeji, Y, Nakanoko, T, Yoshida, R, Eto, K, Kumashiro, R, Ikeda, K, Egashira, A, Saeki, H, Oki, E, Morita, M, Ikeda, T & Maehara, Y 2012, 'Laparoscopic resection for gastrointestinal stromal tumors in the stomach', Surgery Today, vol. 42, no. 6, pp. 554-558. https://doi.org/10.1007/s00595-011-0072-x
Kakeji Y, Nakanoko T, Yoshida R, Eto K, Kumashiro R, Ikeda K et al. Laparoscopic resection for gastrointestinal stromal tumors in the stomach. Surgery Today. 2012 Jun 1;42(6):554-558. https://doi.org/10.1007/s00595-011-0072-x
Kakeji, Yoshihiro ; Nakanoko, Tomonori ; Yoshida, Rintaro ; Eto, Kojiro ; Kumashiro, Ryuichi ; Ikeda, Keisuke ; Egashira, Akinori ; Saeki, Hiroshi ; Oki, Eiji ; Morita, Masaru ; Ikeda, Tetsuo ; Maehara, Yoshihiko. / Laparoscopic resection for gastrointestinal stromal tumors in the stomach. In: Surgery Today. 2012 ; Vol. 42, No. 6. pp. 554-558.
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abstract = "Purpose Gastrointestinal stromal tumors (GISTs) should be surgically resected, even those smaller than 5 cm in size, which is the threshold of clinical malignancy for submucosal tumors (SMTs) in the gastrointestinal tract. This study reviewed the use of laparoscopic surgery for gastric partial resection of GISTs or SMTs that were suspected to be GISTs. Methods Eighteen patients underwent laparoscopic partial resection of the stomach for GISTs or SMTs. The tumor location was confirmed by intraluminal endoscopy. One-half of the circumference around the tumor was dissected, and the tumor was turned toward the abdominal cavity. The nonresected part of the tumor and the edge of the incision line was lifted up using forceps, and the incision line was closed using laparoscopic stapling devices. Results Two cases were diagnosed as GIST by endoscopic biopsy. Six patients underwent endoscopic ultrasound- guided fine-needle aspiration biopsy (EUS-FNAB) examinations, which diagnosed five GISTs. There were 18 tumors smaller than 5 cm, including 10 GISTs, 4 leiomyomas, 3 schwannomas, and one heterotopic pancreas. Conclusions Endoscopic ultrasound-guided FNAB is recommended for definite preoperative diagnosis of histopathologically unknown SMTs to determine the indications for surgery. The laparoscopic approach with the assistance of endoscopy is useful for improving the curability, with minimal invasiveness for the partial resection of GISTs.",
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