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Tetsuji Fujita, MD

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I read with interest the article by Huguet and colleagues¹ on sophisticated laparoscopic operations for gastric gastrointestinal stromal tumors (GISTs) and their outcomes. The authors report their excellent outcomes of attempted laparoscopic surgery for gastric GIST, including a low rate of conversion to open laparotomy (6%), a minimum morbidity rate (9%), no perioperative mortality, a short median hospital stay (3 days), and no evidence for tumor recurrence during a mean follow-up of 13 months in 33 patients. Based on these findings, the authors concluded that almost all gastric GISTs are amenable to laparoscopic resection without compromising oncologic principles. The authors classified 26 small (<5 cm) GISTs as having low malignant potential, 5 GISTs (5-10 cm or having 5-10 mitoses per high power field) as being intermediate-malignant, and 2 GISTs (measuring >10 cm or having >10 mitoses per high power field) as having high malignant potential (as shown . . . [Full Text of this Article]

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