Laparoscopic gastric gastrointestinal stromal tumor resection: the mayo clinic experience.
Arch Surg
; 143(6): 587-90; discussion 591, 2008 Jun.
Article
en En
| MEDLINE
| ID: mdl-18559753
ABSTRACT
HYPOTHESIS:
Laparoscopic resection of gastric gastrointestinal stromal tumors (GISTs) is safe and effective.DESIGN:
Retrospective medical record review.SETTING:
Tertiary referral center. PATIENTS Patients undergoing laparoscopic resection of gastric GISTs from April 1, 2000, to April 1, 2006. MAIN OUTCOMEMEASURES:
Demographic data, diagnostic workup, operative technique, tumor characteristics, morbidity, mortality, and follow-up.RESULTS:
Thirty-three patients underwent attempted laparoscopic resection of gastric GISTs, with 31 operations completed laparoscopically. The mean patient age was 68 years (age range, 35-86 years). The female to male ratio was 1815. Sixteen patients (49%) were asymptomatic, and their tumors were found incidentally. Of 24 patients (73%) who underwent preoperative endoscopic ultrasonography, the results of fine-needle aspiration verified the diagnosis in 13 patients (54%). The mean operative time was 124 minutes (range, 30-253 minutes). A combined endoscopic-laparoscopic approach was used in 11 patients (33%). The mean tumor size was 3.9 cm (range, 0.5-10.5 cm). Two patients (6%) underwent conversion to an open procedure. The median hospital stay duration was 3 days. The mean follow-up was 13 months (range, 3-64 months). There were no local recurrences. Three patients (9%) experienced complications, including 1 wound infection and 2 episodes of upper gastrointestinal tract bleeding. There were no mortalities.CONCLUSION:
Although technically demanding, the laparoscopic approach to gastric GISTs is safe and effective, resulting in a short hospital stay duration and low morbidity.
Texto completo:
1
Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Neoplasias Gástricas
/
Laparoscopía
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Tumores del Estroma Gastrointestinal
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Gastrectomía
Tipo de estudio:
Clinical_trials
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Observational_studies
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Prognostic_studies
Límite:
Adult
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Aged
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Aged80
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Female
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Humans
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Male
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Middle aged
Idioma:
En
Revista:
Arch Surg
Año:
2008
Tipo del documento:
Article
País de afiliación:
Estados Unidos