caa a22 4500 475778960 CHVBK 20180406123638.0 cr unu---uuuuu 170329e20000601xx s 000 0 eng 10.1007/s004640000021 doi (NATIONALLICENCE)springer-10.1007/s004640000021 Laparoscopic treatment of gastric stromal tumors [Elektronische Daten] [N. Basso, P. Rosato, A. De Leo, T. Picconi, P. Trentino, A. Fantini, G. Silecchia] Background: The laparoscopic resection of gastric stromal tumors (GST) is being performed with increased frequency. Methods: Between November 1993 and October 1998, nine consecutive patients with benign and low-grade gastric stromal tumors underwent laparoscopic resection using intraoperative endoscopy. For lesions located on the anterior wall (three cases), a direct approach was utilized. Lesions located on the posterior wall were resected via a transgastric approach (four cases) or through a small opening on the omentum or on the gastrocolic ligament (two cases). Excision of the lesions was performed manually by means of electrocautery and scissors in eight cases; the gastric incisions were closed by manual running suture. An endoscopic stapler device was used in one case only. Results: All patients were successfully treated laparoscopically; there were no conversions to open surgery. Operative time ranged from 75 to 120 min. There was one bleeding from the suture line of the gastric wall postoperatively that was treated conservatively. The average postoperative hospital stay was 4 days (range, 2-6). Conclusions: In light of the results reported in the literature and on the basis of the present work, it seems that laparoscopic resection of GST should be considered as the treatment of choice. Wedge resection of anterior wall lesions is generally performed. The treatment of posterior wall lesions is still controversial. In our opinion the direct approach should be reserved for lesions located on the posterior wall of the body, which can be easily reached through the greater omentum, while the transgastric approach should be preferred for lesions located on the fundus and antrum. Manual excision allows a tailored operation; hand-sewn sutures are always feasible, and they are cheaper than stapled ones. Springer-Verlag New York Inc., 2000 Key words: Gastrointestinal stromal tumors — Laparoscopy — Leiomyoma — Schwannoma nationallicence Basso N. II Clinica Chirurgica, Policlinico Umberto I, Università 's'sLa Sapienza'', Viale del Policlinico 155, 00161 Rome, Italy, IT aut Rosato P. II Clinica Chirurgica, Policlinico Umberto I, Università 's'sLa Sapienza'', Viale del Policlinico 155, 00161 Rome, Italy, IT aut De Leo A. II Clinica Chirurgica, Policlinico Umberto I, Università 's'sLa Sapienza'', Viale del Policlinico 155, 00161 Rome, Italy, IT aut Picconi T. II Clinica Chirurgica, Policlinico Umberto I, Università 's'sLa Sapienza'', Viale del Policlinico 155, 00161 Rome, Italy, IT aut Trentino P. II Clinica Chirurgica, Policlinico Umberto I, Università 's'sLa Sapienza'', Viale del Policlinico 155, 00161 Rome, Italy, IT aut Fantini A. II Clinica Chirurgica, Policlinico Umberto I, Università 's'sLa Sapienza'', Viale del Policlinico 155, 00161 Rome, Italy, IT aut Silecchia G. II Clinica Chirurgica, Policlinico Umberto I, Università 's'sLa Sapienza'', Viale del Policlinico 155, 00161 Rome, Italy, IT aut Surgical Endoscopy Springer-Verlag 14/6(2000-06-01), 524-526 0930-2794 14:6<524 2000 14 464 https://doi.org/10.1007/s004640000021 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s004640000021 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Basso N. II Clinica Chirurgica, Policlinico Umberto I, Università 's'sLa Sapienza'', Viale del Policlinico 155, 00161 Rome, Italy, IT aut NATIONALLICENCE 700 1- Rosato P. II Clinica Chirurgica, Policlinico Umberto I, Università 's'sLa Sapienza'', Viale del Policlinico 155, 00161 Rome, Italy, IT aut NATIONALLICENCE 700 1- De Leo A. II Clinica Chirurgica, Policlinico Umberto I, Università 's'sLa Sapienza'', Viale del Policlinico 155, 00161 Rome, Italy, IT aut NATIONALLICENCE 700 1- Picconi T. II Clinica Chirurgica, Policlinico Umberto I, Università 's'sLa Sapienza'', Viale del Policlinico 155, 00161 Rome, Italy, IT aut NATIONALLICENCE 700 1- Trentino P. II Clinica Chirurgica, Policlinico Umberto I, Università 's'sLa Sapienza'', Viale del Policlinico 155, 00161 Rome, Italy, IT aut NATIONALLICENCE 700 1- Fantini A. II Clinica Chirurgica, Policlinico Umberto I, Università 's'sLa Sapienza'', Viale del Policlinico 155, 00161 Rome, Italy, IT aut NATIONALLICENCE 700 1- Silecchia G. II Clinica Chirurgica, Policlinico Umberto I, Università 's'sLa Sapienza'', Viale del Policlinico 155, 00161 Rome, Italy, IT aut NATIONALLICENCE 773 0- Surgical Endoscopy Springer-Verlag 14/6(2000-06-01), 524-526 0930-2794 14:6<524 2000 14 464 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer