Gastric tube-guided and robot-assisted laparoscopic resection of gastroesophageal junction stromal tumors: Two case reports

doi:10.4240/wjgs.v17.i7.107002

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World Journal of Gastrointestinal Surgery

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1948-9366

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Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA

Case Report

World J Gastrointest Surg. Jul 27, 2025; 17(7): 107002
Published online Jul 27, 2025. doi: 10.4240/wjgs.v17.i7.107002

Gastric tube-guided and robot-assisted laparoscopic resection of gastroesophageal junction stromal tumors: Two case reports

Qiu-Ling Su, Shao-Lin Yuan, Peng Chen, Hao-Di Wang, Jiang Liu, Wei Jiang, Zhi-Wei Jiang, Hong-Shan Dai, Xin-Xin Liu

Qiu-Ling Su, Shao-Lin Yuan, Hao-Di Wang, Jiang Liu, Wei Jiang, Zhi-Wei Jiang, Hong-Shan Dai, Xin-Xin Liu, Affiliated Hospital of Nanjing University of Chinese Medicine, Jiangsu Province Hospital of Chinese Medicine, Nanjing 210029, Jiangsu Province, China

Peng Chen, Department of Neurosurgery at Suzhou Hospital of Traditional Chinese Medicine, Suzhou Hospital of Traditional Chinese Medicine, Suzhou 215003, Jiangsu Province, China

Co-first authors: Qiu-Ling Su and Shao-Lin Yuan.

Co-corresponding authors: Hong-Shan Dai and Xin-Xin Liu.

Author contributions: Su QL and Yuan SL wrote edited the original draft; Chen P and Wang HD, Jiang W and Liu J provided a lot of help in the operation; Liu XX, Dai HS and Jiang ZW directed the writing of the manuscript; all authors have read and approved the final manuscript. Su QL and Yuan SL contribute equally to this study as co-first authors. Liu XX and Dai HS contribute equally to this study as co-corresponding authors. Dai HS, Chief Physician of General Surgery, has played a crucial role in our research and manuscript preparation. Specifically, Dai HS has offered professional guidance during the surgical procedures of the cases included in our study. His expertise has been particularly valuable in providing constructive suggestions on the key technical aspects of gastric tube-guided and robot-assisted laparoscopic surgery. In addition to his clinical contributions, Dai HS has also been actively involved in the academic aspects of our work. He has contributed to the writing of the treatment section of the manuscript and has provided professional advice on the improvement of intraoperative images. Furthermore, he has offered overall guidance and review throughout the manuscript writing process, significantly enhancing the quality of our paper. Liu XX has also made substantial contributions to our research and manuscript. Given the significant and equal contributions of both Dai HS and Liu XX to our research and manuscript, we propose to list them as co-corresponding authors.

Supported by Jiangsu Provincial Administration of Traditional Chinese Medicine, No. MS2023017 and No. SLJ0311; and the Jiangsu Provincial Health Commission, No. ZDXK202251.

Informed consent statement: Informed written consent was obtained from the patient for publication of this report and any accompanying images.

Conflict-of-interest statement: The authors declare that they have no conflicts of interest.

CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).

Open Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/

Corresponding author: Xin-Xin Liu, MD, Affiliated Hospital of Nanjing University of Chinese Medicine, Jiangsu Province Hospital of Chinese Medicine, No. 155 Hanzhong Road, Qinhuai District, Nanjing 210029, Jiangsu Province, China. yfy0055@njucm.edu.cn

Received: March 14, 2025
Revised: April 15, 2025
Accepted: May 21, 2025
Published online: July 27, 2025
Processing time: 132 Days and 23.4 Hours

Core Tip

Core Tip: Protecting the cardia is a considerable challenge in the surgical management of esophagogastric junction gastrointestinal (GI) stromal tumors. This study aims to investigate and summarize the application value of gastrostomy-guided and robot-assisted techniques in safeguarding the cardia during the resection of GI stromal tumors situated in anatomically unfavorable gastric locations.