This article suggests a procedure for the removal of gastric stromal tumours by way of video-laparoscopic access, based on a case of undetermined stromal tumour and a review of the literature. In the present case (75 years-old woman), the diagnosis of an extramucous lesion at the level of the greater curvature was achieved by endosonography. Removal of the gastric wall segment including the lesion (coupled with at least two centimetres of the adjacent gastric wall) was performed through successive placement of an automatic suture (Endogia) in the stomach around the implantation base of the tumour. intraoperative gastroscopy has proved to be mandatory, to identify the tumour implantation base and to verify the condition of the mucous surface in suture line. Endoscopic-intragastric tumour exeresis should not be performed because it demands enucleation, which is an inadequate technique for resection of extramucous gastric tumours. In posterior-wall neoplasms, the lesser and greater gastric curvature must be partially freed and from the lesser sac, the lesion can be tackled through the gastric wall. This must be preferred through the laparoscopic-transgastric approach. Endoscopic-intragastric tumour exeresis should not be performed because it demands enucleation, which is an inadequate technique