No-touch endoscopic full-thickness resection technique for gastric gastrointestinal stromal tumors.
Endoscopy
; 55(6): 557-562, 2023 06.
Article
en En
| MEDLINE
| ID: mdl-36758584
ABSTRACT
BACKGROUND:
There remain concerns regarding the technical feasibility of endoscopic resection for large gastrointestinal stromal tumors (GISTs), mainly relating to the risk of tumor rupture and the adequacy of the resection margins. This study aimed to evaluate the feasibility and therapeutic outcomes of the newly developed no-touch endoscopic full-thickness resection (NT-EFTR) technique for GISTs.METHODS:
In this retrospective study, 92 patients with gastric GISTs undergoing NT-EFTR were included. Clinicopathological, endoscopic, and follow-up data were collected and analyzed.RESULTS:
The median tumor size was 2.5âcm and en bloc resection was achieved in all patients with negative surgical margins. The median time of the NT-EFTR procedure was 59.5 minutes. Large tumors (>â3.0âcm), extraluminal tumor growth pattern, and large gastric defects were significant contributors to long operative times. Patients were discharged within 4 days postoperatively. During follow-up, all patients were free from local recurrence and distant metastasis.CONCLUSIONS:
NT-EFTR was a feasible method for the resection of gastric GISTs and can be expected to achieve complete radical resection. Large tumors with extraluminal growth and large gastric defects impact procedural difficulty.
Texto completo:
1
Bases de datos:
MEDLINE
Asunto principal:
Neoplasias Gástricas
/
Tumores del Estroma Gastrointestinal
/
Resección Endoscópica de la Mucosa
Tipo de estudio:
Observational_studies
/
Risk_factors_studies
Límite:
Humans
Idioma:
En
Revista:
Endoscopy
Año:
2023
Tipo del documento:
Article
País de afiliación:
China