Feasibility of laparoscopic and endoscopic cooperative surgery for gastric gastrointestinal stromal tumor with tumor diameter of > 5 cm

被引：0

作者：

Iwakawa, Yosuke ^{[1
]}

Nishi, Masaaki ^{[1
]}

Wada, Yuma ^{[1
]}

Yoshikawa, Kozo ^{[1
]}

Takasu, Chie ^{[1
]}

Tokunaga, Takuya ^{[1
]}

Nakao, Toshihiro ^{[1
]}

Kashihara, Hideya ^{[1
]}

Yoshimoto, Toshiaki ^{[1
]}

Noma, Takayuki ^{[1
]}

Shimada, Mitsuo ^{[1
]}

机构：

[1] Tokushima Univ, Inst Biomed Sci, Grad Sch, Dept Surg, 3-18-15 Kuramoto Cho, Tokushima 7708503, Japan

来源：

JOURNAL OF MEDICAL INVESTIGATION | 2024年 / 71卷 / 1-2期

关键词：

gastrointestinal stromal tumor; laparoscopic and endoscopic cooperative surgery; partial gastrectomy; tumor diameter; LONG-TERM OUTCOMES; RESECTION; MANAGEMENT; STOMACH; MULTICENTER; GIST;

D O I：

暂无

中图分类号：

R-3 [医学研究方法]; R3 [基础医学];

学科分类号：

1001 ;

摘要：

Background : Laparoscopic and endoscopic cooperative surgery (LECS) is an effective treatment for gastric gastrointestinal stromal tumors (GISTs). The utility of LECS for gastric GISTs of > 5 cm remains controversial. This study was performed to investigate the feasibility of LECS for gastric GISTs with a tumor diameter of >5 cm. Methods : We analyzed 43 patients with gastric GISTs who underwent LECS or laparoscopic partial gastrectomy (Lap-Partial Gx). We compared the surgical outcomes of LECS versus Lap-Partial Gx and of LECS for a tumor diameter of > 5 versus <= 5 cm. Results : In the comparison of LECS versus Lap-Partial Gx, there were no significant intergroup differences in the operative time or blood loss volume. The morbidity rate was similar between the groups. No postoperative mortality occurred in either group. In the comparison of LECS for a tumor diameter of > 5 versus <= 5 cm, there were no significant intergroup differences in operative time, or blood loss volume. The morbidity rate was similar between the > 5-cm and <= 5-cm groups (0.0% vs. 4.5%, respectively ; p = 0.56). Additionally, no recurrence or death occurred during follow-up in either group. Conclusion : LECS is a feasible option for gastric GISTs with a tumor diameter of > 5 cm. J. Med. Invest. 71 : 148-153, February, 2024

引用

页码：148 / 153

页数：6

共 27 条

[21] Laparoscopic endoscopic cooperative surgery as a minimally invasive treatment for gastric submucosal tumor [J].