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Minimally Invasive Approaches to Gastrointestinal Stromal Tumors (GISTs)

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Gastrointestinal Stromal Tumors

Abstract

The concept and proof of concept of minimally invasive surgical techniques began with the introduction of laparoscopic cholecystectomy in 1987. Since then, laparoscopy has improved patient outcomes and transitioned through all surgical specialties, including general surgery thoracic, vascular, gynecology, and urology. Minimally invasive surgery has evolved since its creation due to improvements in instruments, visualization, hemostatsis, robotics, the ability to combine laparoscopy with intraoperative endoscopy, and the wide availability of these technologies to maximize favorable outcomes. The application of minimally invasive surgical techniques to the treatment of gastrointestinal stromal tumors (GISTs) has been extensively studied, and the general conclusion is that laparoscopic removal of GIST in most patients is associated with a shorter hospital stay and comparable long-term oncologic outcomes compared to open resection [1–8]. However, as with any operation for GIST, the adherence to oncologic surgical practices, including prevention of tumor spillage and appropriate resection, must be considered before deciding on a minimally invasive resection [1].

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Author information

Authors and Affiliations

  1. Division of Gastrointestinal and Minimally Invasive Surgery, Carolinas Laparoscopic and Advanced Surgery Program, Carolinas Medical Center, 1025 Morehead Medical Drive, Suite 300, Charlotte, NC, 28204, USA

    Tiffany C. Cox MD, Vedra A. Augenstein MD, FACS, Sam Schell & B. Todd Heniford MD, FACS

Authors
  1. Tiffany C. Cox MD
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  2. Vedra A. Augenstein MD, FACS
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  3. Sam Schell
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  4. B. Todd Heniford MD, FACS
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Correspondence to B. Todd Heniford MD, FACS .

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Editors and Affiliations

  1. School of Medicine, University of Louisville, Louisville, Kentucky, USA

    Charles R. Scoggins

  2. Brigham & Women’s Hospital, Harvard Medical School, Boston, Massachusetts, USA

    Chandrajit P. Raut

  3. Harvard Medical School, Boston, Massachusetts, USA

    John T. Mullen

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Cox, T.C., Augenstein, V.A., Schell, S., Heniford, B.T. (2017). Minimally Invasive Approaches to Gastrointestinal Stromal Tumors (GISTs). In: Scoggins, C., Raut, C., Mullen, J. (eds) Gastrointestinal Stromal Tumors. Springer, Cham. https://doi.org/10.1007/978-3-319-42632-7_10

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  • DOI: https://doi.org/10.1007/978-3-319-42632-7_10

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