Abstract
Background
Gastric stromal neoplasms are rare, accounting for <2% of gastric tumors. Definite criteria for the malignant nature of such tumors are difficult to establish. Although their laparoscopic management has been described, there is still debate as to how to handle these tumors intraoperatively.
Methods
We report a new technical modification of laparoscopic resection used in two gastric stromal tumors, with special precautions taken to avoid the operative dissemination of unsuspected malignancy.
Results
The operative course and postoperative follow-up were uneventful. In both cases, histology showed no features of malignancy.
Conclusion
To avoid tumor seeding during the resection of gastric stromal tumors, preventive measures— including absence of manipulation of the tumor, elimination of direct contact with the abdominal wall, and avoidance of disruption of the mucosa-should be implemented.
This is a preview of subscription content, log in via an institution to check access.
Similar content being viewed by others
References
Basso N, Silecchia G, Pizzuto G, Surgo D, Picconi T, Materia A (1996) Laparoscopic excision of posterior gastric wall leiomyoma. Surg Laparosc Endosc 6: 65–67
Cava A, Roman J, Gonzalez Quintela A, Martin F, Aramburo P (1990) Subcutaneous metastases following laparoscopy in gastric adenocarcinoma. Eur J Surg Oncol 16: 63–67
Chou FF, Eng HL, Sheen-Chen SM (1996) Smooth muscle tumors of the gastrointestinal tract: analysis of prognostic factors. Surgery 119: 171–177
Cook TA, Dehn TCB (1996) Port-site metastases in patients undergoing laparoscopy for gastrointestinal malignancy. Br J Surg 83: 1419–1420
Gleeson NC, Nicosia SV, Mark JE (1993) Abdominal wall metastases from ovarian cancer after laparoscopy. Am J Obstet Gynecol 169: 522–523
Haque S, Dean PJ (1992) Stromal neoplasms of the rectum and the anal canal. Human Pathol 23: 762–767
Lee Y, Nascimento A, Farnell M, Carney A, Harmsen W, Ilstrup D (1995) Epithelioid gastric stromal tumors (leiomyoblastomas): a study of fifty-five cases. Surgery 118: 653–661
Llorente RW (1994) Laparoscopic gastric resection for gastric leiomyoma. Surg Endosc 8: 887–889
Motson RW, Fisher PW, Dawson JW (1995) Laparoscopic resection of a benign intragastric stromal tumor. Br J Surg 82: 1670–1671
Ohashi S (1995) Laparoscopic intraluminal (intragastric) surgery for early gastric cancer: a new concept for early gastric cancer. Surg Endosc 9: 169–171
Sanders L, Silverman M, Rossi R, Braasch J, Munson L (1996) Gastric smooth muscle tumors: diagnostic dilemmas and factors affecting outcome. World J Surg 20: 992–995
Wade TP, Camitalo JB, Andrus CH, Goodwin MN, Kamindski DL (1994) Laparoscopic cancer surgery: lessons from gallbladder cancer. Surg Endosc 8: 698–701
Author information
Authors and Affiliations
Additional information
Online publication: 27 February 2002
Rights and permissions
About this article
Cite this article
Yahchouchy-Chouillard, E., Etienne, J.C., Fagniez, P.L. et al. A new “no-touch” technique for the laparoscopic treatment of gastric stromal tumors. Surg Endosc 16, 962–964 (2002). https://doi.org/10.1007/s00464-001-9041-6
Received:
Accepted:
Issue Date:
DOI: https://doi.org/10.1007/s00464-001-9041-6