ArticleAnnals of surgical oncology2026
Robotic Esophagogastric Resection for EGJ GIST and Intrathoracic Esophagogastric Anastomoses with Luminal Apposing Metal Stent.
Article in Annals of surgical oncology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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Who cites it
1 citing paper in PubMed.
- ASO Author Reflections: Luminal Apposing Metal Stent in the Surgical Gastrointestinal Anastomosis. A Promising Innovation as Future Standards of Care.Annals of surgical oncology · 2026Article
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Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundLuminal apposing metal stent (LAMS) has been used to create endoscopic large-caliber communications between different organs. PATIENTS AND
methodsAn 82-year-old patient underwent robotic proximal esophagogastric resection for bulky esophagogastric junction (EGJ) gastrointestinal stromal tumors (GIST) and intrathoracic esophagogastric anastomoses with LAMS. Lumen diameter used was 20 mm. The patient could not undergo neoadjuvant treatments because the lesion was bleeding. Proximal gastrectomy is a valuable option for selected patients with GISTs of the gastric fundus or EGJ. It offers excellent oncologic results with superior functional outcomes compared to total gastrectomy.
resultsOperative time was 180 min and hospital stay was 7 days. We did not record any perioperative surgical complications even after stent removal. The final histology showed a GIST pT4 N0 M0. At the 6-month follow-up we did not record any symptoms of reflux or signs of stenosis. The patient has a good nutritional status.
conclusionsOur preliminary experience shows that this approach is feasible and safe. It could become the new standard of care and reduce the risk of anastomotic leakage in at-risk anastomoses. Randomized controlled trials in large populations are needed.
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