Extraluminal laparoscopic wedge resection for gastric stromal tumors / 中华胃肠外科杂志

ABSTRACT

<p><b>OBJECTIVE</b>To explore the feasibility and safety of extraluminal laparoscopic wedge resection(ELWR) surgery for gastrointestinal stromal tumors (GIST) in the stomach.</p><p><b>METHODS</b>The clinical data of 31 patients with gastric GIST undergoing ELWR from July 2007 to June 2011 were analyzed retrospectively.</p><p><b>RESULTS</b>There 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.</p><p><b>CONCLUSION</b>ELWR for gastric GIST is technically feasible and safe.</p>