title: Intragastric SILS for GIST, a new challenge in oncologic surgery: first experiences.
abstract: BACKGROUND
  For treatment of Gastrointestinal Stromal Tumour (GIST) located in unreachable areas, such as the esophagogastric junction or pyloric ring, laparoscopic resection cannot be easily applied. We used single-incision laparoscopic surgery (SILS) for intragastric resection of GISTs.
  
  
  METHODS
  We report on our cases (n=3) of GIST of the stomach treated with the SILS port placed intragastrically through the anterior wall of the stomach. A skin incision of only 2.5 cm was made to perform this intervention.
  
  
  RESULTS
  The patients mean age was 68.1 years (range=53-86). The mean operative time was 74.6 (range=67-82) minutes. No intra-operative complications occurred. No conversion was needed. The mean tumor size was 3.8 cm (range=2.7-6.8 cm). All patients healed without any complications. Re-alimentation was started on the third postoperative day. The mean postoperative stay was five days (range: 4-6 days).
  
  
  CONCLUSIONS
  This intragastric SILS procedure for GIST is feasible and safe, and offers a benefiet for further progress in oncologic surgery.
authors.affiliation: Department of Abdominal Surgery, Laarbeeklaan 101, UZ Brussel, 1090 Brussels, Belgium. kristel.devogelaere@uzbrussel.be
authors.forename: Kristel
authors.initials: K
authors.lastname: DE Vogelaere
authors.forename: Nele
authors.initials: N
authors.lastname: VAN DE Winkel
authors.forename: Christian
authors.initials: C
authors.lastname: Simoens
authors.forename: Georges
authors.initials: G
authors.lastname: Delvaux
mesh_terms: D000368:Aged; D046152:Gastrointestinal Stromal Tumors / Q000601:surgery*; D006801:Humans; D010535:Laparoscopy; D008297:Male; D008875:Middle Aged; D013270:Stomach / Q000601:surgery*; D013525:Surgical Instruments
keywords: GIST; SILS; intragastric; oncologic surgery