Five succesuful cases of endoscopic resection for GIST, using a kind of scissors foeceps

Abstract

For GIST treatment, total resction of tumor is very important to cure. Using ESD skills, we resected GIST only by endoscopy in five cases. Toese resections were done at operation room under general anesthesia. These patients were 4 females and a man. Duration were May, 2018 to December, 2019. Endoscopic treatment time was 25 to 92 minutes. Average time was 53 minutes. There were no complication involving gastric perforation or bleeding. None of them, any metastasis or recruuence appears follow-up CT and endoscopy surveillance.

We used mainly SB knife GX type, a kind of scissors foeceps. High frequency setting was ENDO CUT Q effect 1, duration 1 at ERBE VIO 300. Using scissors foeceps, it is possible to grip, rsect and tow.

Laparoscopy and Endoscopy Cooperative Surgery (LECS) is widely performed in Japan, however, only endoscopic resction would contribute to save time, cost and invasion.