Laparoscopic Resection of Gastric Submucosal Tumors: Outcomes of 141 Consecutive Cases in a Single Center
Journal of Minimally Invasive Surgery
; : 106-113, 2012.
Artículo
en Inglés
| WPRIM (Pacífico Occidental)
| ID: wpr-188632
Biblioteca responsable:
WPRO
ABSTRACT
PURPOSE:
The treatment of choice for gastric submucosal tumors (SMT) is surgical resection. Recent advanced techniques has facilitated more extensive application of laparoscopic surgery to most types of resectable gastric SMTs. The aim of this study was to verify the efficacy of laparoscopic resection for treatment of gastric SMT through analysis of outcomes obtained at a single center.METHODS:
A total of 141 patients who underwent laparoscopic resection for treatment of gastric SMT were enrolled between April 2003 and June 2011. Analysis of the demographics, tumor characteristics, and surgical or oncological outcomes of these patients was performed.RESULTS:
Gastrointestinal stromal tumors (GIST) were the most common pathologic findings (90 cases), and the upper third of the stomach was the most common location (70 cases). Wedge resections were performed in 128 patients and major gastrectomies were performed in 13 patients. The mean surgical time was 102 minutes, which was reduced to a stable 70 minutes after the 30th case. The surgical time for tumors located on the posterior or lesser portion of the upper third of the stomach was longer than that for other lesions. Twelve postoperative complications, including two cases of intra-abdominal bleeding, one case of marginal ulcer bleeding, and one case of leakage occurred. However, there was no occurrence of complications after the 70th case. During the follow-up period, two patients suffered recurrent GIST.CONCLUSION:
Laparoscopic surgery for treatment of gastric SMT is safe and feasible, particularly as the surgeon develops greater skill with increased experience. Laparoscopic resection is useful for treatment of any type of gastric SMT.
Texto completo:
Disponible
Base de datos:
WPRIM (Pacífico Occidental)
Asunto principal:
Úlcera Péptica
/
Complicaciones Posoperatorias
/
Estómago
/
Neoplasias Gástricas
/
Demografía
/
Estudios de Seguimiento
/
Laparoscopía
/
Tumores del Estroma Gastrointestinal
/
Tempo Operativo
/
Gastrectomía
Tipo de estudio:
Estudio observacional
/
Estudio pronóstico
Aspecto:
Determinantes sociales de la salud
Límite:
Humanos
Idioma:
Inglés
Revista:
Journal of Minimally Invasive Surgery
Año:
2012
Tipo del documento:
Artículo