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February 16, 2009

Open or Laparoscopic Resection of a Large Gastric Gastrointestinal Stromal Tumor—Reply

Arch Surg. 2009;144(2):193-197. doi:10.1001/archsurg.2008.554

In reply

We thank Dr Fujita for his insightful comments regarding our recent article. He also provides a nice review of other recent articles with outcomes for laparoscopic GIST resection. In response to specific questions, our series has 26 of 33 patients who had tumors smaller than 5 cm. The average tumor size was 3.9 cm and mean length of follow-up was 13 months. We agree that longer follow-up is helpful in assessing for recurrence. However, 79% of our patients fall into a low malignant potential category.