[Gastric stromal tumor treated by laparoscopic surgery].
The authors describe a 59 years old female patient, with a gastrointestinal stromal tumor located on the posterior wall of the gastric funds, who was treated successfully by laparoscopic wedge resection (with clear resection margins), through an anteriorly placed gastrotomy, thus allowing an endoscopic linear cutter Endo GIA, to excise the tumor with a cuff of normal gastric tissue. The anterior gastrotomy was performed with Ultra-Shears. Delivery of the tumor through the gastrotomy is essential for success. The operative time was 110 minutes. The tumor was diagnosed as a gastrointestinal stromal submucosal tumor (of low-grade malignancy) and immunohistochemicaly, this tumor was positive for CD 34.


CONCLUSIONS
Posterior gastric tumor can be removed using laparoscopic surgery.
Secţia chirurgie generală, Spitalul Sf. Dr. Cosma şi Damian, Str. Arhitect Ioan Mincu nr. 7, sector 1, Bucureşti. lucianalecu@yahoo.com
L
L
Alecu
I
I
Costan
A
A
Vitalariu
F
F
Obrocea
Elena
E
Păcuraru
L
L
Gulinescu
D005260:Female; D005743:Gastrectomy; D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D008875:Middle Aged; D011127:Polyps / Q000473:pathology / Q000601:surgery*; D013274:Stomach Neoplasms / Q000473:pathology / Q000601:surgery*; D017154:Stromal Cells / Q000473:pathology; D016896:Treatment Outcome