title: Laparoscopic single-stapling gastric transection for exophytic pedunculated gastrointestinal stromal tumor: is a safe procedure?
abstract: Gastrointestinal stromal tumors (GISTs) represent the most common mesenchymal tumors of the gastrointestinal tract. The macroscopic growth of these lesions can be intraluminal, extraluminal, or intramural, but only 6 cases in literature report a description of the pedunculated type. A 69-year-old man was admitted to our department after an echocardiographical control revealing, as an incidental consequence, an epigastric mass. Computed tomography and magnetic resonance imaging showed the presence of an oval lesion between the third segment of the liver and the front wall of the gastric antrum, measuring approximately 40 × 30 mm and suspected for pedunculated GIST. We describe the laparoscopic approach performed and the surgical technique that we suggest in similar cases. Although there are still many controversies on the use of laparoscopy in the treatment of gastric GISTs, laparoscopic resection can safely be adopted for an exophytic pedunculated GIST in an institute with experience in minimally invasive surgery.
authors.affiliation: Department of Digestive Surgery and Liver Unit, St. Maria Hospital, Terni, Italy.
authors.forename: Amilcare
authors.initials: A
authors.lastname: Parisi
authors.forename: Jacopo
authors.initials: J
authors.lastname: Desiderio
authors.forename: Stefano
authors.initials: S
authors.lastname: Trastulli
authors.forename: Eleonora
authors.initials: E
authors.lastname: Pressi
authors.forename: Alessia
authors.initials: A
authors.lastname: Minicucci
authors.forename: Federico
authors.initials: F
authors.lastname: Farinacci
authors.forename: Roberto
authors.initials: R
authors.lastname: Cirocchi
authors.forename: Carlo
authors.initials: C
authors.lastname: Boselli
authors.forename: Giuseppe
authors.initials: G
authors.lastname: Noya
mesh_terms: D000368:Aged; D005743:Gastrectomy / Q000379:methods*; D046152:Gastrointestinal Stromal Tumors / Q000175:diagnosis / Q000601:surgery*; D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D008279:Magnetic Resonance Imaging; D008297:Male; D013274:Stomach Neoplasms / Q000175:diagnosis / Q000601:surgery*; D013536:Suture Techniques / Q000295:instrumentation*; D013537:Sutures; D014057:Tomography, X-Ray Computed