Laparoendoscopic single-site gastrectomy for a gastric GIST using double-bended instruments

Area of Science:

• Minimally Invasive Surgery
• Surgical Oncology
• Gastroenterology

Background:

• Laparoscopic single-site surgery represents an advancement in minimally invasive surgical techniques.
• Single-port surgery aims to reduce invasiveness while maintaining surgical efficacy.

Purpose of the Study:

• To demonstrate the technical feasibility of laparoendoscopic single-site surgery (LSS) for gastric wedge resection.
• To describe the surgical technique for LSS gastric wedge resection.

Main Methods:

• A partial gastrectomy was performed on a 70-year-old male patient with a gastric GIST.
• A Triport trocar was used through a single 2-cm umbilical incision.
• Specialized instruments, including double-bended instruments and a "goose neck" videolaparoscope, were utilized.

Main Results:

• The procedure was completed with a total operative time of 140 minutes and minimal blood loss (10 mL).
• No intraoperative or postoperative complications were observed.
• The patient experienced a short hospital stay of 4 days, with final pathology confirming complete GIST resection.

Conclusions:

• Laparoendoscopic single-site surgery is technically feasible for gastric wedge resection.
• The described technique and specialized instruments facilitate successful single-port gastric GIST resection.