International Journal of Applied Research
Vol. 5, Issue 6, Part A (2019)
Laparoscopic excision of endophytic gastro intestinal stromal tumor (GIST) and GIST like lesion of stomach by a novel technique
Gastrointestinal stromal tumor is the rare class of neoplasms but most common mesenchymal tumor in the gastrointestinal tract and is most frequently developed in the stomach in the form of submucosal tumor. The malignant potential of these tumors depends upon tumor location, tumor size, mitotic index which are used as risk stratification. Many reports have described the ability to excise small and medium sized GISTs laparoscopically, but laparoscopic resection of GISTs greater than 5 cm is still a matter of debate. So here the aim of the study is to present a distinctive technique and abridged approach for intraoperative identification and excision of such endophytic tumors. Out of six patients 4 male and 2 were female suspected cases of gastric. Mean age group of all patients was 53.8years. All the tumors were less than 5cm in size totally confined within the lumen of stomach without any exophytic component and metastatic disease or lymphadenopathy. Mean size of the tumor was 2.6cms. 4 tumors were located in the body and 2 in antrum. The mean operative duration was 173minutes. Average blood loss was 48ml which ranges 30-80ml. All were symptomatic and during endoscopic evaluation found to have submucosal tumors suspected to be GIST. No biopsy was taken to prevent tumor dissemination. Out of 6 patients two had dyspeptic symptoms and other 4 had evidence gastrointestinal bleeding in the form melena ang low hemoglobin. The proper methodology can be controlled by evaluating the anatomical area of every tumor. The appropriate approach can be determined by assessing the anatomical location of each tumor. This novel technique of intraoperative identification and resection of endophytic GIST of stomach in a more simplified manner will certainly give rise new insight in the field of Gastro Intestinal Stromal Tumor (GIST) excision.
How to cite this article:
Premananda Pattanaik, Salil Kumar Parida, Satyaprakash Ray Choudhury, Sumit Subhadarshi Mohanty, Perwez Alam Khan, Jatindra Nath Mohanty. Laparoscopic excision of endophytic gastro intestinal stromal tumor (GIST) and GIST like lesion of stomach by a novel technique. Int J Appl Res 2019;5(6):53-57.