We found a match
Your institution may have access to this item. Find your institution then sign in to continue.
- Title
Surgical strategies for duodenal gastrointestinal stromal tumors.
- Authors
Fu, Xiang; Wang, Xing; Xiong, Junjie; Yao, Yutong; Tan, Chunlu; Liu, Xubao
- Abstract
Purpose: Duodenal gastrointestinal stromal tumors (GISTs) are rare mesenchymal tumors of the gastrointestinal tract. For localized or potentially resectable GISTs, surgery is the first choice. But the important and complex anatomical structure adjacent to the duodenum makes surgical management for duodenal GISTs challenging and few comprehensive surgical strategies have been described. This study aims to provide new comprehensive surgical strategies for duodenal GISTs by summarizing the surgical approaches and outcomes of duodenal GISTs in different locations in our center in the past 11 years. Methods: Information from patients who underwent surgical resection for duodenal GISTs at our facility during the past 11 years was retrospectively analyzed. Results: Ninety-two patients have received surgical procedures in the facility. Twenty-three, 31, 3, and 35 patients underwent wedge resection, segmental resection, pancreatic head-preserving duodenectomy, and pancreaticoduodenectomy, respectively. The mean operative times were 212.6 (150–270), 260 (180–370), 323 (300–350), and 354.9 (290–490) min; the mean blood loss was 226.1 (100–400), 303.2 (100–600), 500 (400–600), and 582.9 (200–1300) ml, respectively. R0 margins were obtained in 21, 29, 3, and 32 patients, respectively. Conclusions: For duodenal GISTs without invasion of the ampulla of Vater or the pancreatic head, a limited resection (such as wedge resection, segmental resection, or pancreatic head-preserving duodenectomy) is feasible. For duodenal GISTs with an invasion of the ampulla of Vater or the pancreatic head, a pancreaticoduodenectomy is still necessary.
- Subjects
DUODENAL tumors; GASTROINTESTINAL stromal tumors; PANCREATIC surgery; SURGICAL excision; GASTROINTESTINAL tumors; OPERATIVE surgery; GASTROINTESTINAL system
- Publication
Langenbeck's Archives of Surgery, 2022, Vol 407, Issue 2, p835
- ISSN
1435-2443
- Publication type
Article
- DOI
10.1007/s00423-022-02460-5