A comparision between two different local resections for the treatment of duodenal stromal tumors

VernacularTitle:十二指肠间质瘤两种局部切除术的疗效对比分析
Author: Jingya YUAN ¹ ; Yanyan SHI ; Yuntao BING ; Dianrong XIU
Author Information

1. 北京大学第三医院普通外科　100091
Keywords: Gastrointestinal stromal tumors; Duodenum; Laparoscopy
From: Chinese Journal of General Surgery 2021;36(12):915-918
CountryChina
Language:Chinese
Abstract: Objective:To investigate the safety and clinical efficacy of laparoscopy dominated approaches to two different local resections for duodenal stromal tumors.Methods:From May 2015 to May 2021 25 duodenal stromal tumors cases were allocated to wedged resection group (8 cases) and segmental resection (17cases).Results:Compared with the segmental resection group, the operative time in the wedge resection group was significantly shorter [(202±43) min vs. (299±128) min, t=-2.814, P=0.010]. The intraoperative blood loss was 20 (10-50) ml in the wedge resection group and 30 (15-100) ml in the segmental resection group ( t=-1.128, P>0.05). Patients in the wedge resection group had a significantly shorter postoperative hospital stay, 7(9-11) days vs. 14 (10-28) days, t=-2.66, P=0.008. There was no difference in the incidence of postoperative complications and gastric emptying disorders between the two groups ( P>0.05). Conclusion:In spite of laparoscopic,robotic or open approaches, wedge resection and segmental resection based on anatomic location for duodenal stromal tumors are both safe and satisfactory.