alexa Minimally Invasive Resection of Gastric Gists: A Laparo
ISSN: 2161-069X

Journal of Gastrointestinal & Digestive System
Open Access

Like us on:
OMICS International organises 3000+ Global Conferenceseries Events every year across USA, Europe & Asia with support from 1000 more scientific Societies and Publishes 700+ Open Access Journals which contains over 50000 eminent personalities, reputed scientists as editorial board members.

Open Access Journals gaining more Readers and Citations

700 Journals and 15,000,000 Readers Each Journal is getting 25,000+ Readers

This Readership is 10 times more when compared to other Subscription Journals (Source: Google Analytics)

Review Article

Minimally Invasive Resection of Gastric Gists: A Laparo-endoscopic Solution

Luigi Marano*, Raffaele Porfidia, Gianmarco Reda, Michele Grassia, Marianna Petrillo, Giuseppe Esposito, Bartolomeo Braccio, Modestino Pezzella, Pierluigi Gallo, Angela Romano, Angelo Cosenza, Giuseppe Izzo and Natale Di Martino
8th General and Gastrointestinal Surgery, School of Medicine, Second University of Naples, Italy
Corresponding Author : Luigi Marano
8th General and Gastrointestinal Surgery (Chief Prof. N. Di Martino)
School of Medicine, Second University of Naples
P.zza Miraglia 3, 80138 Naples, Italy
Tel: +39-0815665058
Fax: +39-0815665055
E-mail: [email protected]
Received April 02, 2013; Accepted April 30, 2013; Published May 02, 2013
Citation: Luigi M, Raffaele P, Gianmarco R, Michele G, Marianna P, et al. (2013) Minimally Invasive Resection of Gastric Gists: A Laparo-endoscopic Solution. J Gastroint Dig Syst S12:005. doi:10.4172/2161-069X.S12-005
Copyright: © 2013 Luigi M, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
 

Abstract

Although the feasibility of minimally invasive resections of gastric gastrointestinal stromal tumors (GISTs) has been established, many aspects of this approach are still debated: in different scientific papers, gastroscopy during laparoscopy seems to be an effective technique for successful intraoperative tumor identification. 9 patients were referred to our institution for gastric GISTs. Preoperative work-up for all patients included medical history, standard blood tests, upper gastrointestinal endoscopy with endoscopic ultrasound examination and computed tomography scan. One of these patients underwent open surgery for acutely presentation (haemorrhage), and the other 8 underwent laparoscopic-endoscopic “rendez-vous” resection. The average operative time was 134.1 ± 59.3 min. The mean estimated blood loss was less than 62 ml (range, 10-174 ml). There were no episodes of tumor rupture or spillage, no major intraoperative complications and a conversion rate of 25%. At a mean follow-up of 25 months (range, 3-41) all patients are alive and disease free. There were no local recurrences. Given these findings, a minimally invasive approach should be the preferred surgical treatment in patients with small and medium-sized gastric GIST; moreover a selective approach to laparoscopic resection based on tumor location allows safe resection of these tumors with low morbidity and no compromise of oncologic principles.

Share This Page

Additional Info

Loading
Loading Please wait..
 
Peer Reviewed Journals
 
Make the best use of Scientific Research and information from our 700 + peer reviewed, Open Access Journals
International Conferences 2017-18
 
Meet Inspiring Speakers and Experts at our 3000+ Global Annual Meetings

Contact Us

 
© 2008-2017 OMICS International - Open Access Publisher. Best viewed in Mozilla Firefox | Google Chrome | Above IE 7.0 version
adwords