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Introduction. The gastrointestinal stromal tumors (GIST) are the most   frequent mesenchymal tumors of the gastrointestinal tract. The surgery of   resectable gastric GIST is the primary therapy for these tumors, but the   decision regarding the surgical radicality of the procedures is still a point   of discussion among surgeons and oncologists. Case Outline. A 74-year-old   patient was admitted to hospital with signs of bleeding from the upper parts   of the gastrointestinal tract. Urgent gastroscopy was performed and a   subepithelial gastric lesion with bleeding ulceration was noted in the region   of the fornix. A computed tomography scan of the abdomen showed a tumor in   the fornix region with the dimensions of 48 Ч 32 mm, which was growing mostly   intraluminally. After an adequate preoperative preparation the patient   underwent a laparoscopic wedge resection of gastric fornix with intramural   tumor lesion. The histopathological analysis of the specimen showed a well   differentiated GIST (histological grade G1), of the spindle cell type. Based   on the immunohistochemical analysis of the specimen it was concluded that the   patient was in the IA stage of the disease with a low risk of malignant   progression. In the population of patients with GIST, this is the most common   group (43%), with low malignant potential, and relapses present in only 3.6%   of cases. The patient started with oral food intake on the first   postoperative day, the first bowel movement occurred 36 hours after surgery,   and the patient was released from hospital on the fourth postoperative day.   Conclusion. Based on the aforementioned, we consider that the laparoscopic   gastric wedge resection is a safe and efficient surgical procedure. This is   primary therapy for most common group of patients with resectable gastric   GIST

Laparoscopic gastric wedge resection as the method of choice in the treatment of gastrointestinal stromal tumors: A case report