©The Author(s) 2025. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Gastrointest Surg. May 27, 2025; 17(5): 101823
Published online May 27, 2025. doi: 10.4240/wjgs.v17.i5.101823
Published online May 27, 2025. doi: 10.4240/wjgs.v17.i5.101823
Minimally invasive approaches to small gastric stromal tumors: The less with the more
Lapo Bencini, Elvira Adinolfi, Department of Surgical Oncology, Careggi University and District Hospital, Careggi Main Florence University and Regional Hospital, Florence 50134, Italy
Author contributions: Bencini L and Adinolfi E contributed to the references search, reading, and preparation of the manuscript.
Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.
Corresponding author: Lapo Bencini, MD, PhD, Senior Researcher, Department of Surgical Oncology, Careggi University and District Hospital, Careggi Main Florence University and Regional Hospital, 3 Brambilla Street, Florence 50134, Italy. lapbenc@tin.it
Received: September 27, 2024
Revised: February 20, 2025
Accepted: March 6, 2025
Published online: May 27, 2025
Processing time: 237 Days and 18.4 Hours
Revised: February 20, 2025
Accepted: March 6, 2025
Published online: May 27, 2025
Processing time: 237 Days and 18.4 Hours
Core Tip
Core Tip: Survival after surgery for small, low-risk, gastric stromal tumors is excellent, with few perioperative complications and infrequent recurrences. Minimally invasive surgical approaches, such as laparoscopy, robotics, and endoscopy, should provide optimal clinical outcomes while maintaining oncologic adequacy. Although all of these methods have several strengths and limitations, instrument availability, clinical expertise, and need to preserve oncologic parameters play a crucial role in the choice of one over another.