Kim Joseph J, Lim James Y, Nguyen Scott Q
Department of Surgery, Icahn School of Medicine at Mount Sinai, New York, NY 10029, United States.
World J Gastrointest Endosc. 2017 Sep 16;9(9):448-455. doi: 10.4253/wjge.v9.i9.448.
Gastrointestinal stromal tumors (GISTs) are rare tumors of the GI tract. Surgical resection remains the mainstay of non-metastatic disease. However, the ability to provide an adequate oncologic resection using laparoscopic surgery is still an area of debate. This is a thorough review of the current literature, looking particularly at the use of laparoscopic surgery for larger GISTs and the long-term oncologic outcomes compared to the results of open surgery. Laparoscopic resections provide an adequate oncologic result for GISTs of all sizes, including those greater than 5 cm in size.
胃肠道间质瘤(GISTs)是胃肠道的罕见肿瘤。手术切除仍然是非转移性疾病的主要治疗方法。然而,使用腹腔镜手术进行充分的肿瘤切除的能力仍是一个有争议的领域。这是对当前文献的全面综述,特别关注腹腔镜手术在较大GISTs中的应用以及与开放手术结果相比的长期肿瘤学结局。腹腔镜切除术对所有大小的GISTs,包括那些直径大于5厘米的GISTs,都能提供充分的肿瘤学治疗效果。