LAPAROSCOPIC SURGERY FOR GASTROINTESTINAL STROMAL TUMORS OF THE STOMACH

The article presents the data conserning an experience of implementation of laparoscopic organ-preserving surgeries among patients with gastrointestinal stromal tumors of the stomach of various localization. The study included 55 patients with localized forms of gastrointestinal stromal tumors of the stomach, who were observed and operated at Burdenko University Clinical Hospital №1during the period of 2013 to 2019. The vast majority of patients underwent laparoscopic atypical gastrectomy with localization of the tumor along the anterior or posterior stomach linging. In the case of cardiac localization of a tumor atypical resection was supplemented by fundoplication in the modification of Chernousov to restore the natural antireflux mechanism. Enucleation and transverse pyloroplasty were performed in patients with gastrointestinal stromal tumors localized in the antrum of the stomach. In two cases the tumor was located in the area of the cardioesophageal transition and a hybrid «rendezvous» intervention with simultaneous laparoscopic and endoscopic access was performed. In all patients were possible to perform organ-preserving operations. In each case, resection R0 was performed. No postoperative complications were observed in the study group. The hospital stay was no more than 5-6 days. This data allows claiming safety of laparoscopic organ-preserving operations in the gastrointestinal tract, in the presence of serious postoperative complications and the duration of the disease-free course.

surgery, gastroenterology, laparoscopic surgery, gastrointestinal stromal tumors