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Surgical management of gastrointestinal stromal tumours
British Journal of Surgery, 06/19/09

Gervaz P et al. – Review conducted for various operational strategies for gastrointestinal stromal tumours (GISTs) reports that oncologically adequate but limited (wedge; segmental) resections are possible. Such surgery can be carried out in a variety of ways, such as open, laparoscopic, trans-sacral or endoscopic.

Methods

A review of the various operative strategies so far reported for GISTs within the digestive tract
A PubMed search from 1998 to 2008 for references containing the terms `gastrointestinal stromal tumours' and `surgery'

Results

Many original procedures tailored to the specific characteristics of these rare sarcomas have been reported
GISTs exhibit distinct features, in particular an absence of metastases within locoregional lymph nodes
Operations requiring extended lymph node dissection are inappropriate for treating GISTs originating from the stomach, duodenum and rectum respectively

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