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Abstract
Background: Cardiac GIST is a difficult position in choosing the right surgical method to avoid further injury to the patient. We report 2 cases of laparoscopic transgastric to remove GIST in the cardia at Nghe An Friendship General Hospital.
Case report: The first case was a 34-year-old male patient. Reason for admission: Abdominal pain. History: reflux gastritis and taking medication to treat but not getting better should be hospitalized. History: healthy. Normal clinical examination. Gastroscopy: Cardiac region with submucosal tumor 2 x 2.5cm. Computed tomography: Cardiac area with tumor KT 28 x 32mm, clearly demarcated. Preoperative diagnosis: The tumor was submucosal in the cardia and was laparoscopic transgastric resection for gastric GIST by ultrasound knife. The operative time was 125 minutes, no complications during surgery. Immunohistochemical staining was positive for DOGI, CD117, CD34, negative for Desmin, S100. Postoperative progress was stable, giving liquid food 48 hours after surgery. Discharged from the hospital on day 7. The second case was a 64 - year - old female patient. Reason for admission: Abdominal pain. History: reflux gastritis for more than 1 year of treatment did not improve, so he was hospitalized. History: healthy. Normal examination. Gastroscopy: close to the heart, there is a submucosal tumor of ~1.8cm. Computed tomography: Cardiac region with submucosal tumor KT 16 x 22mm. The patient underwent laparoscopic transgastric resection for gastric GIST by ultrasound knife. The operative time was 95 minutes, no complications during surgery. Immunohistochemical staining was positive for DOGI, CD117, CD34, negative for Desmin, S100. Postoperative progress was stable, giving liquid food 48 hours after surgery. After 7 days of stabilization, he was discharged from the hospital.
Conclusion: Laparoscopic transgastric may be a good option for gastric GIST in the cardia area, especially with small GISTs. This technique has the advantages of small incisions, early postoperative recovery and high aesthetics.
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| Published | 28-12-2024 | |
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| Issue | No. 94 (2024) | |
| Section | Case report | |
| DOI | 10.38103/jcmhch.94.11 | |
| Keywords | Phẫu thuật nội soi xuyên thành dạ dày, GIST vùng tâm vị Laparoscopic transgastric gastric, GIST in the cardia |
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