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World J Gastrointest Endosc. Jul 16, 2014; 6(7): 296-303
Published online Jul 16, 2014. doi: 10.4253/wjge.v6.i7.296
Laparoscopic management of gastric gastrointestinal stromal tumors
Juan Correa-Cote, Carlos Morales-Uribe, Alvaro Sanabria
Juan Correa-Cote, Carlos Morales-Uribe, Alvaro Sanabria, Department of Surgery, School of Medicine, Universidad de Antioquia-Hospital Pablo Tobon Uribe-San Vicente de Paul. Medellin, Medellin 050010, Colombia
Author contributions: Correa-Cote J, Morales-Uribe C and Sanabria A contributed equally to this work; Correa-Cote J and Morales-Uribe C designed the research; Correa-Cote J, Morales-Uribe C and Sanabria A performed the research, analyzed the data; and wrote the paper.
Correspondence to: Alvaro Sanabria, MD, MSc, PhD, FACS, Department of Surgery, School of Medicine, Universidad de Antioquia-Hospital Pablo Tobon Uribe-San Vicente de Paul. Medellin, Carrera 51d Nº 62-29, Medellin 050010, Colombia. alvarosanabria@gmail.com
Telephone: +57-4-2196000
Received: November 4, 2013
Revised: April 7, 2014
Accepted: May 28, 2014
Published online: July 16, 2014
Processing time: 254 Days and 12.6 Hours
Abstract

Gastrointestinal stromal tumors (GISTs) are the most frequent gastrointestinal tumors of mesodermal origin. Gastric GISTs represent approximately 70% of all gastrointestinal GISTs. The only curative option is surgical resection. Many surgical groups have shown good results with the laparoscopic approach. There have not been any randomized controlled trials comparing the open vs laparoscopic approach, and all recommendations have been based on observational studies. The experience obtained from gastric laparoscopic surgery during recent decades and the development of specific devices have allowed the treatment of most gastric GISTs through the laparoscopic approach.

Keywords: Gastrointestinal stromal tumors; Laparoscopy; Surgery; Stomach; Gastrectomy

Core tip: Gastrointestinal stromal tumors (GISTs) are the most frequent gastrointestinal tumors of mesodermal origin. Gastric GISTs represent approximately 70% of all gastrointestinal GISTs. The only curative option is surgical resection. Many surgical groups have shown good results with the laparoscopic approach. There have not been any randomized controlled trials comparing the open vs laparoscopic approach, and all recommendations have been based on observational studies. The experience obtained from gastric laparoscopic surgery during recent decades and the development of specific devices have allowed the treatment of most gastric GISTs through the laparoscopic approach.