{"id":8401,"date":"2024-06-06T06:43:00","date_gmt":"2024-06-06T09:43:00","guid":{"rendered":"https:\/\/gastropedia.pub\/pt\/?p=8401"},"modified":"2024-07-01T08:12:22","modified_gmt":"2024-07-01T11:12:22","slug":"cirurgia-cooperativa-laparoscopica-e-endoscopica-lecs-para-resseccao-de-gist-gastrico","status":"publish","type":"post","link":"https:\/\/gastropedia.pub\/pt\/cirurgia\/cirurgia-cooperativa-laparoscopica-e-endoscopica-lecs-para-resseccao-de-gist-gastrico\/","title":{"rendered":"Cirurgia cooperativa laparosc\u00f3pica e endosc\u00f3pica (LECS) para ressec\u00e7\u00e3o de GIST g\u00e1strico"},"content":{"rendered":"<div class=\"pdfprnt-buttons pdfprnt-buttons-post pdfprnt-top-right\"><a href=\"https:\/\/gastropedia.pub\/pt\/wp-json\/wp\/v2\/posts\/8401?print=pdf\" class=\"pdfprnt-button pdfprnt-button-pdf\" target=\"_blank\" ><img decoding=\"async\" src=\"https:\/\/gastropedia.pub\/pt\/wp-content\/plugins\/pdf-print\/images\/pdf.png\" alt=\"image_pdf\" title=\"Ver PDF\" \/><\/a><a href=\"https:\/\/gastropedia.pub\/pt\/wp-json\/wp\/v2\/posts\/8401?print=print\" class=\"pdfprnt-button pdfprnt-button-print\" target=\"_blank\" ><img decoding=\"async\" src=\"https:\/\/gastropedia.pub\/pt\/wp-content\/plugins\/pdf-print\/images\/print.png\" alt=\"image_print\" title=\"Conte\u00fado de impress\u00e3o\" \/><\/a><\/div>\n<p class=\"has-very-light-gray-to-cyan-bluish-gray-gradient-background has-background\"><strong>Autores:<\/strong> Henrique Lopardi Passos, Annita Cavalcante Farias Leoncio Cardoso, Eduardo Rullo Maranh\u00e3o Dias, Pedro Henrique de Freitas Amaral, Sergio Roll, Bruno da Costa Martins<\/p>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"h-introducao\"><strong>Introdu\u00e7\u00e3o<\/strong><\/h2>\n\n\n\n<p>A gastrectomia parcial laparosc\u00f3pica para tumores g\u00e1stricos submucosos \u00e9 um procedimento simples, seguro e bem difundido. Entretanto, a vis\u00e3o somente laparosc\u00f3pica, da superf\u00edcie serosa, pode tornar dif\u00edcil a localiza\u00e7\u00e3o de tumores no l\u00famen g\u00e1strico, resultando em uma ressec\u00e7\u00e3o extensa da parede g\u00e1strica que, por sua vez, pode levar a deformidades e obstru\u00e7\u00e3o do tr\u00e2nsito do \u00f3rg\u00e3o. Tamb\u00e9m h\u00e1 v\u00e1rios relatos de margens de ressec\u00e7\u00e3o positivas e recorr\u00eancia local p\u00f3s-operat\u00f3ria devido ao desconhecimento do local preciso da les\u00e3o.<\/p>\n\n\n\n<p>Para resolver estes problemas, surgiu em 2006 a cirurgia cooperativa laparosc\u00f3pica e endosc\u00f3pica (laparoscopic and endoscopic cooperative surgery \u2013 LECS), a qual vem evoluindo e se difundindo cada vez mais. O conceito est\u00e1 come\u00e7ando a ser aplicado tamb\u00e9m para excis\u00f5es tumorais em outros \u00f3rg\u00e3os, como duodeno, c\u00f3lon e reto, com expectativa de ainda mais evolu\u00e7\u00e3o no futuro. Para saber mais sobre esta t\u00e9cnica, confira este outro artigo do GASTROPEDIA: <a href=\"https:\/\/gastropedia.pub\/pt\/cirurgia\/esofago-estomago-duodeno\/tecnicas-combinadas-para-resseccao-localizada-de-espessura-total-da-parede-do-trato-gastrointestinal-laparoscopic-and-endoscopic-cooperative-surgery-lecs\/.\">https:\/\/gastropedia.pub\/pt\/cirurgia\/esofago-estomago-duodeno\/tecnicas-combinadas-para-resseccao-localizada-de-espessura-total-da-parede-do-trato-gastrointestinal-laparoscopic-and-endoscopic-cooperative-surgery-lecs\/.<\/a><\/p>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"h-caso-clinico\"><strong>Caso Cl\u00ednico<\/strong><\/h2>\n\n\n\n<div style=\"position:relative;padding-top:56.25%;\"><iframe id=\"panda-493297a2-7f2c-45bb-802b-9b667ea853f9\" src=\"https:\/\/player-vz-a75e9d45-986.tv.pandavideo.com.br\/embed\/?v=493297a2-7f2c-45bb-802b-9b667ea853f9\" style=\"border:none;position:absolute;top:0;left:0;\" allow=\"accelerometer;gyroscope;autoplay;encrypted-media;picture-in-picture\" allowfullscreen=true width=\"100%\" height=\"100%\" fetchpriority=\"high\"><\/iframe><\/div>\n\n\n\n<p><\/p>\n\n\n\n<p>V\u00eddeo apresentando ressec\u00e7\u00e3o videolaparosc\u00f3pica de GIST g\u00e1strico em parede posterior de corpo alto, pr\u00f3ximo \u00e0 c\u00e1rdia, com o aux\u00edlio da endoscopia digestiva alta. A les\u00e3o media 26,5 x 19,1 mm, tendo diagn\u00f3stico atrav\u00e9s de pun\u00e7\u00e3o ecoendosc\u00f3pica, confirmado por imuno-histoqu\u00edmica, sem met\u00e1stases ao exame tomogr\u00e1fico. Devido ao tamanho da les\u00e3o e por se tratar de um tumor de baixo grau, foi indicada ressec\u00e7\u00e3o local por via laparosc\u00f3pica. No procedimento, por se tratar de um tumor de dif\u00edcil localiza\u00e7\u00e3o para ressec\u00e7\u00e3o local, em corpo alto, pr\u00f3ximo \u00e0 c\u00e1rdia, em parede posterior, foi solicitado aux\u00edlio da endoscopia digestiva alta no intraoperat\u00f3rio, realizando um procedimento combinado (LECS).<\/p>\n\n\n\n<p>A equipe de endoscopia realizou inje\u00e7\u00e3o de Voluven com azul de metileno para eleva\u00e7\u00e3o da submucosa, permitindo a dissec\u00e7\u00e3o do tumor pela equipe de cirurgia e ressec\u00e7\u00e3o total da les\u00e3o por via videolaparosc\u00f3pica e possibilitando uma menor \u00e1rea de grampeamento, com m\u00ednima deformidade do \u00f3rg\u00e3o. N\u00e3o houve abertura da mucosa ou sangramento durante o procedimento. O tempo cir\u00fargico foi de 70 minutos. Tr\u00eas dias ap\u00f3s a cirurgia, a paciente recebeu alta hospitalar, sem dor e aceitando bem dieta l\u00edquida.<\/p>\n\n\n\n<p>No laudo anatomopatol\u00f3gico, foi confirmado o diagn\u00f3stico de tumor estromal de baixo grau, medindo 4,1 cm no maior eixo, com 1 mitose por 5 mm<sup>2<\/sup>, margens livres, sem invas\u00e3o angiolinf\u00e1tica e pT2. Paciente se encontra em seguimento ambulatorial, assintom\u00e1tica.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"h-tumor-estromal-gastrointestinal-gist\"><strong>Tumor Estromal Gastrointestinal (GIST)<\/strong><\/h2>\n\n\n\n<p>Este tumor \u00e9 uma rara neoplasia mesenquimal do trato gastrointestinal (TGI), apresentando-se tipicamente como uma les\u00e3o subepitelial do est\u00f4mago e do intestino delgado. A maior parte destes tumores apresenta muta\u00e7\u00f5es caracter\u00edsticas nos genes KIT ou PDGFRA, representando 1 a 2 % dos tumores prim\u00e1rios do TGI, al\u00e9m de serem os tumores mesenquimais mais comumente encontrados nesta localiza\u00e7\u00e3o.<\/p>\n\n\n\n<p>Muitas vezes os GISTs s\u00e3o detectados acidentalmente em pacientes assintom\u00e1ticos por exames endosc\u00f3picos ou de imagem, mas algumas vezes os pacientes apresentam sinais e sintomas, como sangramento, disfagia, icter\u00edcia obstrutiva, constipa\u00e7\u00e3o ou obstru\u00e7\u00e3o intestinal. O diagn\u00f3stico \u00e9 estabelecido por histopatologia, imunohistoqu\u00edmica e identifica\u00e7\u00e3o de muta\u00e7\u00f5es espec\u00edficas.<\/p>\n\n\n\n<p>O diagn\u00f3stico diferencial inclui tumores subepiteliais benignos e malignos, muitos deles similares aos GISTs.<\/p>\n\n\n\n<p>Como tratamento para os GISTs n\u00e3o metast\u00e1ticos, temos a ressec\u00e7\u00e3o cir\u00fargica como padr\u00e3o-ouro, com o objetivo de atingir uma ressec\u00e7\u00e3o R0.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"h-referencias\"><strong>Refer\u00eancias<\/strong><\/h2>\n\n\n\n<ol class=\"wp-block-list\">\n<li>Hiki N, Nunobe S. Laparoscopic endoscopic cooperative surgery (LECS) for the gastrointestinal tract: Updated indications. Ann Gastroenterol Surg. 2019;3:239\u2013246. https:\/\/doi.org\/10.1002\/ags3.12238<\/li>\n\n\n\n<li><a href=\"https:\/\/www.uptodate.com\/contents\/clinical-presentation-diagnosis-and-prognosis-of-gastrointestinal-stromal-tumors\/contributors\">Chandrajit P Raut<\/a> et al. Clinical presentation, diagnosis, and prognosis of gastrointestinal stromal tumors. Uptodate 2023. Dispon\u00edvel em: https:\/\/www.uptodate.com\/contents\/clinical-presentation-diagnosis-and-prognosis-of-gastrointestinal-stromal-tumors.<\/li>\n<\/ol>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"h-como-citar-este-artigo\"><strong>Como citar este artigo<\/strong><\/h2>\n\n\n\n<p class=\"has-very-light-gray-to-cyan-bluish-gray-gradient-background has-background\">Passos HL, Cardoso AC, Dias ER, Amaral PH, Roll S, Martins BC, Cirurgia cooperativa laparosc\u00f3pica e endosc\u00f3pica (LECS) para ressec\u00e7\u00e3o de GIST g\u00e1strico Gastropedia 2024, vol 1. Dispon\u00edvel em: <a href=\"https:\/\/gastropedia.pub\/pt\/?p=8401\" target=\"_blank\" rel=\"noreferrer noopener\">https:\/\/gastropedia.pub\/pt\/cirurgia\/cirurgia-cooperativa-laparoscopica-e-endoscopica-lecs-para-resseccao-de-gist-gastrico<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Autores: Henrique Lopardi Passos, Annita Cavalcante Farias Leoncio Cardoso, Eduardo Rullo Maranh\u00e3o Dias, Pedro Henrique de Freitas Amaral, Sergio Roll, Bruno da Costa Martins Introdu\u00e7\u00e3o A gastrectomia parcial laparosc\u00f3pica para&hellip;<\/p>\n","protected":false},"author":5752,"featured_media":8428,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_lmt_disableupdate":"","_lmt_disable":"","footnotes":""},"categories":[24,27],"tags":[],"ano":[396],"tipo":[121],"volume":[57],"class_list":["post-8401","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-cirurgia","category-esofago-estomago-duodeno","ano-396","tipo-assuntos-gerais","volume-volume-i"],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v27.2 (Yoast SEO v27.2) - 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