Robotic Gastric Tumor Resection with Transoral Specimen Extraction (GC-NOSES IX)

Abstract

Gastrointestinal stromal tumor (GIST) is a common mesenchymal tumor of the digestive tract. Surgical resection is the first choice of treatment. With the deepening of the understanding of GIST and the improvement of the minimally invasive technique, the current surgery for GIST has entered the era of minimally invasive surgery from open surgery. Minimally invasive surgery has the advantages of minimal trauma and rapid recovery while ensuring the operation safety. At present, the main methods of minimally invasive surgery include endoscopic surgery, laparoscopic surgery, combined endoscopic and laparoscopic surgery, etc., and good therapeutic effects have been achieved. In recent years, da Vinci robot system has been popularized in China, which brings new opportunities and challenges for surgical operation. The following is a case of da Vinci robotic gastroscopic gastric GIST resection performed by the surgical team led by Professor Jiang Zhiwei. The 50-year-old male patient presented with epigastric discomfort for 1 month. After endoscopic ultrasonography and abdominal CT examination, a mass of approximately 2 cm × 2 cm in size was found in the anterior wall of the lesser curvature of the gastric body (Figs. 30.1–30.2), which indicated the possibility of gastric GIST. The patient requested surgical treatment and hoped that the surgery would leave no obvious surgical scar in the abdominal wall. After excluding surgical contraindications, da Vinci robotic gastroscopic gastric GIST resection was proposed.