Single-incision intragastric resection for upper and mid gastric submucosal tumors: a case-series study.
10.4174/astr.2014.87.6.304
- Author:
Chang In CHOI
1
;
Si Hak LEE
;
Sun Hwi HWANG
;
Dae Hwan KIM
;
Tae Yong JEON
;
Dong Heon KIM
;
Gwang Ha KIM
;
Do Youn PARK
Author Information
1. Department of Surgery, Medical Research Institute, Pusan National University Hospital, Busan, Korea. 111160@pusan.ac.kr
- Publication Type:Original Article
- Keywords:
Laparoscopy;
Stomach neoplasm;
Gastric mucosa;
Gastrectomy;
Gastrointestinal stromal tumors
- MeSH:
Body Mass Index;
Drinking;
Esophagogastric Junction;
Female;
Follow-Up Studies;
Gastrectomy;
Gastric Mucosa;
Gastrointestinal Stromal Tumors;
Humans;
Intraoperative Complications;
Laparoscopy;
Length of Stay;
Male;
Recurrence;
Retrospective Studies;
Stomach;
Stomach Neoplasms
- From:Annals of Surgical Treatment and Research
2014;87(6):304-310
- CountryRepublic of Korea
- Language:English
-
Abstract:
PURPOSE: Laparoscopic gastric wedge resection is a standard treatment for removing gastric submucosal tumors (SMTs). So far, however, there have been few reports of single-incision laparoscopic intragastric wedge resection. Our aim was to describe this procedure and our experience with it. METHODS: From January 2010 to December 2013, a total of 21 consecutive patients with gastric SMTs underwent single-incision intragastric resection at our institution. Their clinicopathologic data were analyzed retrospectively. RESULTS: The patients consisted of nine men and 12 women with a mean age of 51.9 +/- 12.9 years (22-69 years). Their mean body mass index was 22.6 +/- 2.0 kg/m2. Mean tumor size was 2.4 +/- 0.7 cm, with the following anatomic distribution: esophagogastric junction in three patients, fundus in twelve, upper body in three, and lower body in two. Mean operating time was 68.6 +/- 12.0 minutes. There were no conversions to open surgery and no major intraoperative complications. Time to resumption of water intake was 1.4 +/- 0.5 days. Mean hospital stay was 4.9 +/- 1.7 days. There were no recurrences or deaths during the mean 19-month follow-up. CONCLUSION: Single-incision intragastric wedge resection is a feasible and safe procedure. It is especially efficient for treating small endophytic gastric SMTs located on the upper and mid portion of the stomach.
