Rong Wu and Zhen-Ling JI*
Department of General Surgery, Southeast University Medical School, ChinaFulltext PDF
Gastrointestinal stromal tumors (GISTs) are the most common mesenchymal tumors originating in the gastrointestinal tract. Laparoscopic endoscopic cooperative surgery (LECS), consist of endoscopic surgery in the form of endoscopic mucosal incision and laparoscopic surgery, is an important advantage over conventional laparoscopic wedge resection(LWR) for local resection of gastric gastrointestinal stromal tumors (GIST). The first LECS method was reported by Hiki in 2008, which was named “classical LECS” to distinguish from subsequent modified methods, for example, laparoscopic assisted endoscopic full-thickness resection (LAEFR), inverted LECS and a combination of laparoscopic and endoscopic approaches to neoplasia with a non-exposure technique (CLEAN-NET) and non-exposed endoscopic wall-inversion surgery (NEWS). Each of these procedures has advantages and disadvantages. So we have reviewed these techniques, identify the difference between them, define their indications and elaborate their characteristics. And in conclusion, as a relative safe, feasible, and beneficial procedure, classical LECS technique, along with subsequent modified methods substantially promote the development of surgical treatment for gastrointestinal neoplasms especially for GISTs. Moreover, further studies such as large sample prospective clinical trials are also required to confirm the feasibility and stability of these treatment methods, especially with regard to safe and long-term outcomes.
Laparoscopic-endoscopic cooperative surgery; Laparoscopic wedge resection; Gastrointestinal stromal tumors
Wu R, Zhen-Ling JI. Laparoscopic-Endoscopic Cooperative Surgery for Gastric Gastrointestinal Stromal Tumors. Clin Surg. 2016; 1: 1234.