title: Laparoscopic sleeve gastrectomy for a large gastrointestinal stromal tumor.
abstract: The biological behavior of gastrointestinal stromal tumor (GIST) makes resection of the tumor with adequate margins, a mode of curative treatment. GIST does not have lymphatic permeation. Hence, the goal of therapy is complete resection of visible and microscopic disease, which can be achieved by adequate tumor-free margins. Laparoscopic management of large GIST tumors is discouraged because of the fear of spillage of the tumor or rupture of the tumor capsule while handling a large tumor and thus causing metastasis.
authors.affiliation: Institute for Special Surgery, Joy Hospital Pvt Ltd, Chembur, Mumbai, India.
authors.forename: Dimple V
authors.initials: DV
authors.lastname: Thakkar
authors.forename: Sachin V
authors.initials: SV
authors.lastname: Wani
authors.forename: Vishwanath
authors.initials: V
authors.lastname: Shetty
authors.forename: Roy V
authors.initials: RV
authors.lastname: Patankar
mesh_terms: D005260:Female; D005743:Gastrectomy / Q000379:methods*; D006471:Gastrointestinal Hemorrhage / Q000209:etiology / Q000517:prevention & control; D005770:Gastrointestinal Neoplasms / Q000601:surgery*; D046152:Gastrointestinal Stromal Tumors / Q000601:surgery*; D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D008875:Middle Aged