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endoscopic laparoscopic gastric gastrointestinal stromal tumor

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https://www.readbyqxmd.com/read/27845908/endoscopic-versus-laparoscopic-resection-of-gastric-gastrointestinal-stromal-tumors-a-multicenter-study
#1
Wei-Jie Dai, Gao Liu, Min Wang, Wen-Jie Liu, Wei Song, Xiao-Zhong Yang, Qi-Long Wang, Xiao-Yu Zhang, Zhi-Ning Fan
Despite endoscopic resection has been performed to treat gastric gastrointestinal stromal tumor (GISTs). However, the safety and long-term outcomes remains controversial. This study aims to compare the safety and surgical outcomes of endoscopic versus laparoscopic resection of gastric GISTs. A total of 335 patients that were pathologically confirmed with gastric GISTs (tumor size ≤ 3.5 cm) were surgically treated with endoscopic resection (endoscopic group) or laparoscopic resection (laparoscopic group) in three institutions from March 1, 2011 to October 1 2014...
November 11, 2016: Oncotarget
https://www.readbyqxmd.com/read/27599829/nonexposure-laparoscopic-and-endoscopic-cooperative-surgery-closed-laparoscopic-and-endoscopic-cooperative-surgery-for-gastric-submucosal-tumor
#2
Satoru Kikuchi, Masahiko Nishizaki, Shinji Kuroda, Shunsuke Tanabe, Kazuhiro Noma, Shunsuke Kagawa, Yasuhiro Shirakawa, Hiroshi Kato, Hiroyuki Okada, Toshiyoshi Fujiwara
Laparoscopic and endoscopic cooperative surgery (LECS) is increasingly applied for gastric submucosal tumors (SMTs) such as gastrointestinal stromal tumors. However, the conventional LECS procedure has the potential risk that gastric contents and even tumor cells could spread into the abdominal cavity because the gastric wall has to be opened during the resection. To avoid this problem, we have developed a modified LECS procedure named "closed LECS." Ten patients underwent closed LECS for the resection of gastric SMTs...
September 6, 2016: Gastric Cancer
https://www.readbyqxmd.com/read/27492430/safety-analysis-of-laparoscopic-endoscopic-cooperative-surgery-versus-endoscopic-submucosal-dissection-for-selected-gastric-gastrointestinal-stromal-tumors-a-propensity-score-matched-study
#3
A I Balde, Tao Chen, Yanfeng Hu, J D Redondo N, Hao Liu, Wei Gong, Jiang Yu, Li Zhen, Guoxin Li
BACKGROUND: Laparoscopic endoscopic cooperative surgery (LECS) is a safe alternative to endoscopic submucosal dissection (ESD) for select gastric gastrointestinal stromal tumors (GISTs) that are <2 cm in size. To date, there have been no randomized studies comparing the feasibility of these two techniques. Therefore, we compared their feasibility and safety using the propensity score matching method in this study. METHODS: This was a single-center, retrospective, propensity score-matched study of patients who underwent resection of selected gastric GISTs between 2004 and 2014...
August 4, 2016: Surgical Endoscopy
https://www.readbyqxmd.com/read/27470999/multiple-gastric-gastrointestinal-stromal-tumors-treated-by-laparoscopic-endoscopic-cooperative-surgery-a-case-report
#4
Eri Maeda, Masao Fujiwara, Hironobu Suto, Eisuke Asano, Takayoshi Kishino, Naoki Yamamoto, Shintaro Akamoto, Keiichi Okano, Hideki Kobara, Hirohito Mori, Tsutomu Masaki, Yasuyuki Suzuki
The typical treatment of choice for gastrointestinal stromal tumors (GIST) is surgical resection. Here we report a case of three GIST lesions resected safely by laparoscopic-endoscopic cooperative surgery (LECS). A 78-year-old woman was referred to our hospital for further treatment of an enlarging gastric submucosal tumor. Esophagogastroduodenoscopy and endoscopic ultrasonography revealed two gastric submucosal tumors. Endoscopic ultrasonography-guided fine needle aspiration was subsequently performed. The patient underwent LECS in accordance with therapeutic guidelines for GIST...
July 29, 2016: Asian Journal of Endoscopic Surgery
https://www.readbyqxmd.com/read/27459484/-surgical-treatment-of-patients-with-gastrointestinal-stromal-tumor-of-the-stomach
#5
S G Shapoval'yants, R V Plakhov, A I Mikhalev, E D Fedorov, L M Mikhaleva, Z V Galkova, E E Ernazarov, E V Gorbachev
AIM: to evaluate objectively the effectiveness of currently used diagnostic and curative approaches to gastrointestinal stromal tumors (GIST). MATERIAL AND METHODS: Early and remote results of treatment of 49 patients with gastric GISTs were presented. Herewith in 20 (40.8%) patients the disease was complicated by gastrointestinal bleeding. 43 (87.7%) of 49 patients with gastric GIST were operated. Conventional surgery was performed in 24 (55.8%) cases, laparoscopic interventions - in 12 (28%) cases, endoscopic endoluminal - in 7 (16...
2016: Khirurgiia
https://www.readbyqxmd.com/read/27104029/gastrointestinal-stromal-tumor-of-the-stomach-presenting-as-multilobular-with-diffuse-calcifications
#6
Sae Hee Kim, Moon-Soo Lee, Byung Sun Cho, Joo-Seung Park, Hyun-Young Han, Dong-Wook Kang
Gastrointestinal stromal tumors (GISTs) are the most common primary mesenchymal neoplasms of the gastrointestinal tract and usually appear as a well-circumscribed mass. However, it may be difficult to confirm the extent of the disease for some GISTs. A 70-year-old asymptomatic female presented for a regular physical exam. An esophagogastroduodenoscopy showed a 2.0 cm protruding mass on the gastric fundus. Endoscopic ultrasound revealed an ill-defined heterogenous hypoechoic lesion (3.0×1.5 cm). A computed tomography (CT) scan demonstrated a 4...
March 2016: Journal of Gastric Cancer
https://www.readbyqxmd.com/read/27073455/an-innovative-procedure-of-laparoscope-combined-with-endoscopy-for-gastrointestinal-stromal-tumor-resection-and-cholecystectomy-a-case-report-and-literature-review
#7
Y E Yan, Feng Li, Yong-Hao Gai, Qing-Wei Liu
The present study reports a novel approach to laparoscopic and endoscopic cooperative surgery for gastric gastrointestinal stromal tumor (GIST) resection and cholecystectomy, and conducts a review of the associated literature. The novel surgical procedure was performed on one patient who was diagnosed with a GIST and cholecystic polypus. The GIST was resected using an insulation-tipped diathermic electrosurgical knife under the guide of an endoscope. Subsequently, a cholecystectomy was performed by inserting two more 5-mm trocars and instruments transumbilically, guided using an endoscope...
April 2016: Experimental and Therapeutic Medicine
https://www.readbyqxmd.com/read/27059471/probable-igg4-related-sclerosing-disease-presenting-as-a-gastric-submucosal-tumor-with-an-intense-tracer-uptake-on-pet-ct-a-case-report
#8
Ryota Otsuka, Masayuki Kano, Hideki Hayashi, Naoyuki Hanari, Hisashi Gunji, Koichi Hayano, Hisahiro Matsubara
A 44-year-old man consulted an internist because of abnormalities in an upper gastrointestinal series. It showed an elevated lesion with central depression in the greater curvature of the middle part of the stomach. Upper gastrointestinal endoscopy showed an elevated lesion with central depression, bridging hold, and no abnormalities of the gastric mucosa in the greater curvature of the middle part of the stomach. Endoscopic ultrasonography showed a submucosal tumor derived from the muscle layer of the stomach...
December 2016: Surgical Case Reports
https://www.readbyqxmd.com/read/26975860/non-exposed-endoscopic-wall-inversion-surgery-for-gastrointestinal-stromal-tumor-of-the-stomach-first-case-report-in-korea
#9
Da Won Kim, Joon Sung Kim, Byung-Wook Kim, Ji Yun Jung, Gi Jun Kim, Jin-Jo Kim
Laparoscopic wedge resection of the stomach is a widely accepted treatment for primary resectable gastrointestinal stromal tumors (GISTs). However, it is difficult to determine the appropriate incision line from outside of the stomach, and many attempts have been made to avoid unnecessary resection of unaffected gastric tissues. Recently a technique called non-exposed endoscopic wall-inversion surgery (NEWS) was introduced to avoid exposure of GIST to the peritoneum. Here, we describe the first published case of NEWS for GIST of the stomach practiced in Korea...
March 15, 2016: Clinical Endoscopy
https://www.readbyqxmd.com/read/26943414/a-gastrointestinal-stromal-tumor-at-the-esophagogastric-junction-successfully-treated-by-laparoscopic-wedge-resection-with-seromuscular-layer-dissection-a-case-report
#10
Hidefumi Shiroshita, Norio Shiraishi, Yuki Shitomi, Tsuyoshi Etoh, Seigo Kitano, Masafumi Inomata
Herein, we report a case of a gastrointestinal stromal tumor (GIST) at the esophagogastric junction (EGJ) that was successfully treated by a laparoscopic wedge resection (LWR) after dissection of the seromuscular layer around the tumor to prevent postoperative deformities and stenosis of the EGJ. Subsequently, the abdominal esophagus was wrapped by the gastric fornix according to Dor's method in order to prevent reflux esophagitis after surgery.A 71-year-old female patient was admitted with a diagnosis of a GIST (23 × 20 × 20 mm) at the EGJ...
December 2015: Surgical Case Reports
https://www.readbyqxmd.com/read/26819807/endoscopic-and-laparoscopic-full-thickness-resection-of-endophytic-gastric-submucosal-tumors-very-close-to-the-esophagogastric-junction
#11
Oh Kyoung Kwon, Wansik Yu
PURPOSE: Gastric submucosal tumors (SMTs) located very close to the esophagogastric junction (EGJ) are a challenge for gastric surgeons. Therefore, this study reports on the experience of using endoscopic and laparoscopic full-thickness resection (ELFR) with laparoscopic two-layer suturing in such tumors. MATERIALS AND METHODS: Six patients with gastric SMTs very close to the EGJ underwent ELFR with laparoscopic two-layer suturing at Kyungpook National University Medical Center...
December 2015: Journal of Gastric Cancer
https://www.readbyqxmd.com/read/26805229/-intraluminal-type-gastrointestinal-stromal-tumor-resected-by-single-incision-percutaneous-endoscopic-intragastric-surgery-a-case-report
#12
Taichi Koyama, Taro Aoki, Masaya Higashiguchi, Teruyuki Kobayashi, Kenji Sakai, Takashi Doi, Minako Hoshi, Yoichi Makari, Hirokazu Taniguchi, Masakazu Murakami, Itsuko Nakamichi, Kimimasa Ikeda, Eiji Kurokawa
We report a patient with gastric gastrointestinal stromal tumor (GIST) who underwent single-incision percutaneous endoscopic intragastric surgery. The patient was a 70-year-old man. Esophagogastroduodenoscopy and abdominal computed tomography revealed the presence of an intraluminal type gastric submucosal tumor, 4 cm in diameter, in the posterior wall of the gastric body. Laparoscopic partial gastrectomy was performed via a single incision made in the epigastric region. The postoperative course was uneventful...
November 2015: Gan to Kagaku Ryoho. Cancer & Chemotherapy
https://www.readbyqxmd.com/read/26631974/endoscopically-assisted-transumbilical-single-incision-laparoscopic-gastric-resection-for-gist-treatment
#13
Michail Pitiakoudis, Petros Zezos, Georgios Kouklakis, Christos Tsalikidis, Konstantinos Romanidis, Stergios Vradelis, Alexandra K Tsaroucha, Stylianos Kakolyris, Constantinos Simopoulos
PURPOSE: Complete surgical resection with negative margins without lymphadenectomy is the treatment of choice for nonmetastatic Gastrointestinal Stromal Tumors (GISTs). Laparoscopic resection of gastric GISTs <5 cm is an acceptable and oncologically feasible, safe, and effective treatment. We present our experience of an endoscopically assisted minimally invasive transumbilical single-incision laparoscopic (SILS) technique for gastric GISTs resection. METHODS: Four patients with small gastric GISTs ≤5 cm located on the greater curvature or the anterior wall were resected with SILS by using a lesion-lifting technique under the guidance of flexible gastroscopy...
2016: Journal of Investigative Surgery: the Official Journal of the Academy of Surgical Research
https://www.readbyqxmd.com/read/26604655/cooperative-laparoscopic-endoscopic-and-hybrid-laparoscopic-surgery-for-upper-gastrointestinal-tumors-current-status
#14
REVIEW
Dimitrios Ntourakis, Georgios Mavrogenis
AIM: To investigate the cooperative laparoscopic and endoscopic techniques used for the resection of upper gastrointestinal tumors. METHODS: A systematic research of the literature was performed in PubMed for English and French language articles about laparoscopic and endoscopic cooperative, combined, hybrid and rendezvous techniques. Only original studies using these techniques for the resection of early gastric cancer, benign tumors and gastrointestinal stromal tumors of the stomach and the duodenum were included...
November 21, 2015: World Journal of Gastroenterology: WJG
https://www.readbyqxmd.com/read/26566427/cutting-edge-of-endoscopic-full-thickness-resection-for-gastric-tumor
#15
REVIEW
Tadateru Maehata, Osamu Goto, Hiroya Takeuchi, Yuko Kitagawa, Naohisa Yahagi
Recently, several studies have reported local full-thickness resection techniques using flexible endoscopy for gastric tumors, such as gastrointestinal stromal tumors, gastric carcinoid tumors, and early gastric cancer (EGC). These techniques have the advantage of allowing precise resection lines to be determined using intraluminal endoscopy. Thus, it is possible to minimize the resection area and subsequent deformity. Some of these methods include: (1) classical laparoscopic and endoscopic cooperative surgery (LECS); (2) inverted LECS; (3) combination of laparoscopic and endoscopic approaches to neoplasia with non-exposure technique; and (4) non-exposed endoscopic wall-inversion surgery...
November 10, 2015: World Journal of Gastrointestinal Endoscopy
https://www.readbyqxmd.com/read/26490768/endoscopic-band-ligation-versus-endoscopic-submucosal-dissection-and-laparoscopic-resection-for-small-gastric-stromal-tumors
#16
Yan Meng, Chunli Cao, Shujie Song, Yue Li, Side Liu
BACKGROUND AND AIM: Gastrointestinal stromal tumors (GISTs) are the most common mesenchymal tumors of the gastrointestinal tract. Previous studies have addressed the safety and feasibility of endoscopic band ligation (EBL) for the treatment of small gastric GISTs. However, published reports comparing EBL with other interventions are limited. This current study evaluates the efficacy of EBL and compares EBL to both endoscopic submucosal dissection (ESD) and laparoscopic resection (LAP) for small gastric GISTs less than 15 mm...
July 2016: Surgical Endoscopy
https://www.readbyqxmd.com/read/26468339/laparoscopic-endoscopic-cooperative-surgery-as-a-minimally-invasive-treatment-for-gastric-submucosal-tumor
#17
Tsutomu Namikawa, Kazuhiro Hanazaki
Laparoscopic wedge resection is a useful procedure for treating patients with submucosal tumor (SMT) including gastrointestinal stromal tumor (GIST) of the stomach. However, resection of intragastric-type SMTs can be problematic due to the difficulty in accurately judging the location of endoluminal tumor growth, and often excessive amounts of healthy mucosa are removed; thus, full-thickness local excision using laparoscopic and endoscopic cooperative surgery (LECS) is a promising procedure for these cases...
October 10, 2015: World Journal of Gastrointestinal Endoscopy
https://www.readbyqxmd.com/read/26423418/minimally-invasive-approaches-to-resection-of-benign-low-grade-gastric-tumors
#18
Arghavan Salles, Monica Dua, Shai Friedland, Brendan Visser
BACKGROUND: Tumors in the stomach have traditionally been treated with either subtotal gastrectomy or total gastrectomy, depending on the location. However, many of these lesions are benign spindle cell tumors or adenomas and could be resected with margins. Here, we explore multiple minimally invasive methods for the resection of these tumors. We highlight a wedge resection, a circumferential resection with transverse closure, a transgastric resection, and an endoscopic/laparoscopic submucosal resection...
June 2016: Surgical Endoscopy
https://www.readbyqxmd.com/read/26369265/combination-of-laparoscopic-and-endoscopic-approaches-to-neoplasia-with-non-exposure-technique-clean-net-for-gist-with-ulceration
#19
Kazuhito Nabeshima, Mifuji Tomioku, Kenji Nakamura, Seiei Yasuda
Combination of laparoscopic and endoscopic approaches to neoplasia with non-exposure technique (CLEAN-NET) was developed to avoid intraoperative tumor dissemination. We report two cases of gastric gastrointestinal stromal tumor (GIST) with ulceration surgically treated with CLEAN-NET at our institution. The first case was a 55-year-old male with hematemesis. Gastric endoscopy revealed a gastric GIST with ulceration of the fornix. CLEAN-NET was performed with the insertion of five trocars and a liver retractor...
September 2015: Tokai Journal of Experimental and Clinical Medicine
https://www.readbyqxmd.com/read/26366368/laparoscopic-and-endoscopic-cooperative-surgery-for-gastrointestinal-stromal-tumor-with-complete-situs-inversus-report-of-a-case
#20
Mikito Mori, Kiyohiko Shuto, Atsushi Hirano, Chihiro Kosugi, Kuniya Tanaka, Keiji Koda
We herein report our experience of performing laparoscopic and endoscopic cooperative surgery for a gastrointestinal stromal tumor with complete situs inversus. A 78-year-old man was referred to our department for treatment of a gastric submucosal tumor. Based on chest X-ray and computed tomography (CT) findings, complete situs inversus was also diagnosed. Upper gastrointestinal endoscopy and imaging showed a 45-mm gastric submucosal tumor in the upper stomach near the esophagogastric junction. We performed local resection of the gastric submucosal tumor by laparoscopic and endoscopic cooperative surgery...
2015: Surgical Case Reports
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