Case Report
Copyright ©2014 Baishideng Publishing Group Co., Limited. All rights reserved.
World J Clin Cases. Jan 16, 2014; 2(1): 9-11
Published online Jan 16, 2014. doi: 10.12998/wjcc.v2.i1.9
Resection of giant gastric GIST with a new generation ultrasonic scalpel device
Crispin Schneider, David F Hewin
Crispin Schneider, Division of Surgery and Interventional Science, University College London, Bloomsbury Campus, London WC1E 6AU, United Kingdom
Crispin Schneider, David F Hewin, Department of General Surgery, Gloucestershire Royal Hospital, Gloucester GL1 3NN, United Kingdom
Author contributions: Schneider C collected images, literature search, writing the manuscript; Hewin DF reviewed and edited the manuscript.
Author contributions: Crispin Schneider, MRCS, MD, Division of Surgery and Interventional Science, University College London, Bloomsbury Campus, Medical School Building, 4th Floor, 74 Huntley Street, London WC1E 6AU, United Kingdom.
Telephone: +44-207-6796490 Fax: +44-207-6796470
Received: November 19, 2013
Revised: December 24, 2013
Accepted: January 7, 2014
Published online: January 16, 2014

Gastrointestinal stroma tumours (GIST) are the most common mesenchymal tumour in the digestive tract and commonly found in the stomach. The patient described in this report presented with collapse and a palpable abdominal mass. He was found to have a large gastric GIST that penetrated through the mesocolon. Resection of the GIST was technically challenging but facilitated by a new generation ultrasonic scalpel device. In resection of gastric cancer the use of ultrasonic scalpels has been shown to reduce operating time, blood loss and length of stay. We feel that in technically challenging cases of gastric GIST the use of an ultrasonic scalpel device may be justified as well.

Keywords: Gastrointestinal stroma tumours, Ultrasonic scalpel, Harmonic, Giant tumour, Stomach

Core tip: This case report about a giant gastric gastrointestinal stroma tumours focuses on surgical technique. Because of its bulk the giant tumour was penetrating through the transverse mesocolon. Dissecting the tumour of the mesocolon and avoiding a concomitant colectomy was facilitated by using a new generation ultrasonic scalpel device.