Extraluminal laparoscopic wedge resection for gastric stromal tumors.
- Author:
Jian-wei XIE
1
;
Chang-ming HUANG
;
Chao-hui ZHENG
;
Ping LI
;
Jia-bin WANG
;
Jian-xian LIN
Author Information
- Publication Type:Journal Article
- MeSH: Adult; Aged; Aged, 80 and over; Female; Gastrectomy; methods; Gastrointestinal Stromal Tumors; surgery; Humans; Laparoscopy; methods; Male; Middle Aged; Retrospective Studies; Stomach Neoplasms; surgery; Treatment Outcome
- From: Chinese Journal of Gastrointestinal Surgery 2012;15(8):824-826
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVETo explore the feasibility and safety of extraluminal laparoscopic wedge resection(ELWR) surgery for gastrointestinal stromal tumors (GIST) in the stomach.
METHODSThe clinical data of 31 patients with gastric GIST undergoing ELWR from July 2007 to June 2011 were analyzed retrospectively.
RESULTSThere were 19 males and 12 females with a mean age of 65.5 years old. Locations of the tumor included fundus of the stomach (n=22) and anterior wall (n=9). The mean diameter was (3.3±1.5) cm (range 1.5 to 5 cm). All the procedures were performed successfully without conversion to open operation. The mean operative time of ELWR was (54.1±6.2) min (range 45 to 65 min), the mean intraoperative blood loss was (35.2±10.5) ml (range 15 to 55 ml), the mean recovery time was (1.5±0.2) d (range 3 to 6 d) and the mean postoperative hospital stay was (4.5±1.0) d. No patient experienced complications postoperatively. The entire cohort were followed up for 4 to 48 months (mean 18.8 months) and no recurrence or metastasis was found.
CONCLUSIONELWR for gastric GIST is technically feasible and safe.