Treatment Results of Small Intestinal Gastrointestinal Stromal Tumors Less than 10 cm in Diameter: A Comparison between Laparoscopy and Open Surgery.
10.5230/jgc.2012.12.4.243
- Author:
Kyong IHN
1
;
Woo Jin HYUNG
;
Hyoung Il KIM
;
Ji Yeong AN
;
Jong Won KIM
;
Jae Ho CHEONG
;
Dong Sup YOON
;
Seung Ho CHOI
;
Sung Hoon NOH
Author Information
1. Department of Surgery, Yonsei University College of Medicine, Seoul, Korea. wjhyung@gmail.com
- Publication Type:Original Article
- Keywords:
Gastrointestinal stromal tumors;
Laparoscopy;
Intestine, small
- MeSH:
Gastrointestinal Stromal Tumors;
Humans;
Intestine, Small;
Laparoscopy;
Length of Stay;
Operative Time;
Recurrence
- From:Journal of Gastric Cancer
2012;12(4):243-248
- CountryRepublic of Korea
- Language:English
-
Abstract:
PURPOSE: To evaluate the technical feasibility and oncologic safety, we assessed the short-term and long-term outcomes of laparoscopic resection of the small bowel gastrointestinal stromal tumors smaller than 5 cm by comparing those of open surgery by subgroup analysis based on tumor size. MATERIALS AND METHODS: From November 1993 to January 2011, 41 laparoscopic resections were performed among the 95 patients who underwent resection of small intestine < or =10 cm in diameter. The clinicopathologic features, perioperative outcomes, recurrences and survival of these patients were reviewed. RESULTS: The postoperative morbidity rates were comparable between the 2 groups. Laparoscopic surgery group showed significantly shorter operative time (P=0.004) and duration of postoperative hospital stay (P<0.001) than open surgery group and it was more apparent in the smaller tumor size group. There were no difference in 5-year survival for the laparoscopic surgery versus open surgery groups (P=0.163), and in 5-year recurrence-free survival (P=0.262). The subgroup analysis by 5 cm in tumor size also shows no remarkable differences in 5-year survival and recurrence-free survival. CONCLUSIONS: Laparoscopic resection for small bowel gastrointestinal stromal tumors of size less than 10 cm has favorable short-term postoperative outcomes, while achieving comparable oncologic results compared with open surgery. Thus, laparoscopic approach can be recommended as a treatment modality for patients with small bowel gastrointestinal stromal tumors less than 10 cm in diameter.
