Treatment Results of Small Intestinal Gastrointestinal Stromal Tumors Less than 10 cm in Diameter: A Comparison between Laparoscopy and Open Surgery
Journal of Gastric Cancer
;
: 243-248, 2012.
Article
in English
| WPRIM
| ID: wpr-137145
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 ANDMETHODS:
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.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Recurrence
/
Laparoscopy
/
Gastrointestinal Stromal Tumors
/
Operative Time
/
Intestine, Small
/
Length of Stay
Limits:
Humans
Language:
English
Journal:
Journal of Gastric Cancer
Year:
2012
Type:
Article
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