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Richard J. Bold, MD

Arch Surg. 2008;143(6):591.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

The technological development of necessary instruments (eg, roticulating linear staplers, ultrasonic dissectors, and flexible retractors) for the conduct of minimally invasive surgery has greatly facilitated the implementation of laparoscopic procedures within the field of surgical oncology. Although often technically feasible, until the oncologic safety of minimally invasive surgical resections is proven, such procedures should not be broadly implemented. There is increasing evidence supporting minimally invasive surgical resection of malignant tumors of the colon, with early reports in tumors of the lungs, kidneys, prostate, and stomach.¹ However, unlike these tumor sites, GISTs are uncommon; their classification is based primarily on histopathologic criteria (spindle cell neoplasm arising from the intestinal pacemaker cell of Cajal) and molecular biologic behavior (frequent mutational activation of the receptor tyrosine kinase c-kit) rather than anatomic site of origin. Huguet et al report the outcome of 33 patients who underwent attempted laparoscopic resection . . . [Full Text of this Article]

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