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- Title
Various features of laparoscopic tailored resection for gastric submucosal tumors: a single institution's results for 168 patients.
- Authors
Choi, Chang; Lee, Si; Hwang, Sun; Kim, Dae; Jeon, Tae; Kim, Dong; Park, Do; Choi, Chang In; Lee, Si Hak; Hwang, Sun Hwi; Kim, Dae Hwan; Jeon, Tae Yong; Kim, Dong Heon; Park, Do Youn
- Abstract
<bold>Background: </bold>Laparoscopic resection is a standard procedure for gastric submucosal tumors. Herein, we analyzed the features of various laparoscopic approaches.<bold>Methods: </bold>Between January 2007 and November 2013, 168 consecutive patients who underwent laparoscopic resection for gastric submucosal tumors were enrolled. Patients' demographics and clinicopathologic and perioperative data were reviewed retrospectively.<bold>Results: </bold>Among the 168 patients, exogastric wedge resection was performed in 99 cases (58.9%), single-port intragastric resection was performed in 30 cases (17.9%), eversion technique was used in 17 cases (10.1%), transgastric resection was performed in 8 cases (4.8%), and single-port wedge resection was performed in 6 cases (3.6%). The remaining cases underwent single-port exogastric wedge resection, laparoscopic and endoscopic cooperative surgery, or major resection. Mean age was 56.8 ± 13.3 years, and body mass index was 24.0 ± 3.2 kg/m(2). Mean operation time was 96.1 ± 58.9 min; laparoscopic proximal gastrectomy had the longest operation time (3 cases, 291.7 ± 129.0 min). In contrast, the laparoscopic eversion technique had the shortest operation time (82.6 ± 32.8 min). Pathologic data revealed a mean tumor size of 2.9 ± 1.2 cm (with a range of 0.8-8.0 cm). Tumors were most common on the body (98 cases, 58.3%), followed by the fundus (44 cases, 26.2%). Exophytic growth occurred in 39 cases (23.2%), endophytic growth occurred in 89 cases (53.0%), and dumbbell-type growth occurred in 40 cases (23.8%). Gastrointestinal stromal tumors occurred in 130 cases (77.4%), and schwannomas occurred in 23 (13.7%). Thirteen patients had postoperative complications (delayed gastric emptying in 5, stricture in 3, bleeding in 3, others in 2). The mean follow-up period was 28.8 ± 20.8 months, and there were three recurrences (1.8%) at 6, 19 and 31 months after the initial surgery.<bold>Conclusions: </bold>For gastric submucosal tumors with appropriate locations and growth types, laparoscopic tailored resection which facilitates safer and more precise resection can be good alternative treatment option.
- Subjects
LAPAROSCOPIC surgery; GASTRECTOMY; OPERATIVE surgery; STOMACH cancer; STAPLERS (Surgery); COMPARATIVE studies; GASTRIC mucosa; LAPAROSCOPY; RESEARCH methodology; MEDICAL cooperation; RESEARCH; STOMACH tumors; NERVE tissue; EVALUATION research; TREATMENT effectiveness; RETROSPECTIVE studies; SURGERY; TUMORS
- Publication
Surgical Endoscopy & Other Interventional Techniques, 2016, Vol 30, Issue 4, p1450
- ISSN
1866-6817
- Publication type
journal article
- DOI
10.1007/s00464-015-4350-3