Surgical management of gastrointestinal stromal tumours
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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