Surgical management of gastrointestinal stromal tumor
LIANG Han
Abstract：The principle of surgical treatment of gastrointestinal stromal tumor (GIST) is removing the tumor as completely as possible (R0). The majority of gastric stromal tumor can be removed with local or wedge excision. Proximal gastrectomy is a choice for stromal tumor locating at the cardia since local resection may cause cardia stenosis. Distal gastrectomy is suitable for stromal tumor locating at lesser curvature of gastric antrum. Total gastrectomy is rare for gastric stromal tumor. Combined spleen, tail of pancreas and transverse colon resection may necessary for R0 surgery of greater curvature of gastric antrum. Local resection is the first choice for duodenal stromal tumor. Operation procedure must be carried out carefully for small intestinal stromal tumor in order to avoid tumor rupture. Combined resection is a right choice when tumor involved surrounding organs or structure. In principle, low anterior instead of abdominoperineal resection is the only recommend procedure for rectal stromal tumor. Selected patients with recurrence or metastatic GIST who have controlled disease to TKI therapy can benefit from surgical resection.
Keywords：gastrointestinal stromal tumorsurgery
Publication Date：2015-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：4( 391-394 )