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- Title
Endoscopy-Assisted Laparoscopic Resections for Gastric Gastrointestinal Stromal Tumors: A Retrospective Study.
- Authors
Huang, Jiang-Long; Zheng, Zong-Heng; Wei, Hong-Bo; Chen, Tu-Feng; Liu, Jian-Pei; Huang, Yong; Wei, Bo; Fang, Jia-Feng
- Abstract
<bold>Objective: </bold>To explore the safety, feasibility, and clinical curative effect of endoscopy-assisted laparoscopic resections for gastric gastrointestinal stromal tumors (GISTs).<bold>Materials and Methods: </bold>We retrospectively compared the general condition of 41 GIST patients undergoing endoscopy-assisted laparoscopic resections (n = 41, combined group) with those undergoing traditional open gastrectomy (n = 43, open surgery group).<bold>Results: </bold>All patients survived during the surgery. The average operation time of the combined group and the open surgery group was 90 ± 40 minutes and 120 ± 60 minutes, respectively, and no significant difference (P = .088) was observed. Bleeding volume during operation was significantly lower [(50 ± 20 versus 150 ± 40) mL, P < .001] and recovery time of the gastrointestinal function was significantly shorter in the combined group [(2.02 ± 0.99) days versus (3.02 ± 1) days, P < .001]. No statistical difference was found in the postoperative complications (5% versus 12%, P = .442) or GIST recurrence (2.44% versus 2.33%, P = 1.000) between the two groups. Follow-up visit showed no death.<bold>Conclusion: </bold>For GIST patients who attempted to receive gastrectomy, endoscopy-assisted laparoscopic resections showed advantages on the operation time, bleeding volume, and recovery time and are suggested as a better alternative for GISTs.
- Subjects
GASTROINTESTINAL stromal tumors; ENDOSCOPY; LAPAROSCOPIC surgery; SURGICAL complications; RETROSPECTIVE studies; TUMOR treatment
- Publication
Journal of Laparoendoscopic & Advanced Surgical Techniques, 2017, Vol 27, Issue 2, p110
- ISSN
1092-6429
- Publication type
journal article
- DOI
10.1089/lap.2016.0068