Laparoscopic Management of Acutely Presenting Gastrointestinal Stromal Tumors: A Study of 9 Cases and Review of Literature

Abstract

Our experience showed that GISTs can present acutely and may need immediate surgical intervention. A laparoscopic treatment is safe and practical in experienced hands. Tumor size and hemorrhage at presentation can predict a patient's malignant potential.

Robot‐assisted resection of gastrointestinal stromal tumors (GIST): a single center case series and literature review

“…Median operative time was 240 min (210–300). Mean hospital stay was 4.2 days . Median follow‐up time was 13.5 months with a disease‐free survival rate of 100%.…”

“…The mean operative time between the two series was 216 minutes (132–300). The mean tumor size was 5 cm and the mean length of stay was 6 days . There was no postoperative morbidity and mortality.…”

Management of bleeding GI tumors

“…Patients who underwent laparoscopic resection had less postoperative pain and shorter hospital stays. 67 Choice of surgical approach depends on anatomic considerations and local expertise.…”

Gastrointestinal stromal tumors: Recommendations on diagnosis, therapy and follow-up care in Austria

“…For example, such an approach is indicated when surgical intervention at that point in time is not conceivable for the patient, or in cases of elderly patients and patients with co-morbidities. Small and medium-sized gastric tumors (< 5 cm in size, in certain cases ≤ 8 cm) may also be candidates for laparoscopic resection; however, this must be carried out in specialized centers that regularly perform laparoscopic resections in the upper digestive tract [29][30][31][32][33][34]. In this respect, it must be emphasized that tumor rupture should be avoided at all costs in this type of surgical intervention.…”