A narrative review of minimally invasive techniques for treatment of gastric gastrointestinal stromal tumors

Abstract

Background and Objective: Minimally invasive approach for small gastric gastrointestinal stromal tumors (GISTs) (<5 cm) is widely accepted according to National Comprehensive Cancer Network (NCCN) and European Society for Medical Oncology (ESMO) guidelines published in 2010. During last 15 years, many different techniques were proposed with the intent to reduce invasiveness ensuring adequate oncological radicality. In this chapter, we describe the laparoscopic, robotic and laparoscopic-endoscopic cooperative techniques for the treatment of this type of neoplasms. Our technique is also described. Methods:We have conducted a literature review from 01.01.2008 to 06.31.2021 on PubMed database for studies regarding laparoscopic, robotic and endoscopic techniques for treatment of gastric GISTs. The medical search headings (MeSH) "gastric GIST", "laparoscopic GIST", "robotic GIST", "minimally invasive surgery", "laparoscopic and endoscopic cooperative surgery procedures" and combinations of these were used. The lists of articles identified were examined to find relevant studies cited in this article. These studies compared sometimes different approaches (laparoscopic, robotic, laparoscopic and endoscopic cooperative surgery procedures), dividing the GISTs according to their gastric site and different types of resection. We analysed review, systematic review, and meta-analyses, restricting to English-language publications.

Efficacy and safety of laparoscopic surgery vs open surgery in gastrointestinal tumor resection: a systematic review

“…Endoscopic examination ensures no leakage. These minimally invasive approaches, including single-incision methods, offer effective alternatives for difficult-toaccess tumors while minimizing manipulation and ensuring complete resection (Pizzini et al, 2022).…”

“…Robotassisted laproscopic surgery can be the better option because of its high safety profile and effectiveness, with reduced errors rate. Robot-assisted laproscopic surgery is mostly prescribed when it becomes difficult for surgeons to reach gastric GISTs (Pizzini et al, 2022).…”