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Laparoscopic Endoscopic Cooperative Surgery for Gastrointestinal Stromal Tumors

Wang, Honglei, MD, PhD; Cao, Lei, MM; Zheng, Kunming, MM; Zhao, Yongjie, MD

Surgical Laparoscopy Endoscopy & Percutaneous Techniques: December 2018 - Volume 28 - Issue 6 - p 354–358
doi: 10.1097/SLE.0000000000000591
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With the development of laparoscopy and digestive endoscopy, multiple laparoscopic and endoscopic cooperative surgeries (LECSs) for gastrointestinal stromal tumors have recently been developed. Classic LECS has been confirmed as a feasible and safe treatment procedure for gastrointestinal stromal tumors with regard to both short-term surgical and long-term oncological outcomes; however, classic LECS has the potential risk of gastric contents or tumor cells spilling into the abdominal cavity because the gastric wall has to be opened during the procedure. Various modified LECS techniques have aimed at further minimizing invasiveness, such as the full-thickness resection method using the nonexposure technique (combination of laparoscopic and endoscopic approaches to neoplasia with a nonexposure technique), nonexposed endoscopic wall­inversion surgery, and closed LECS. This review describes and summarizes the current LECS for gastrointestinal tumor.

Department of General Surgery, Tianjin Union Medical Centre, Tianjin, China

Supported in part by grants from the foundation of Tianjin Health Bureau (2015KZ063) and foundation of Tianjin Union Medical Center (2016YJ017, 2016YJ013).

The authors declare no conflicts of interest.

Reprints: Yongjie Zhao, MD, Department of General Surgery, Tianjin Union Medical Center, Tianjin, 300121, China (e-mail: drzhaoyongjie@126.com).

Received May 15, 2018

Accepted September 12, 2018

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