Comparison of Clinical Characteristics between Open and Laparoscopic Surgery Groups in Gastric Gastrointestinal Stromal Tumor Patients

Title
Comparison of Clinical Characteristics between Open and Laparoscopic Surgery Groups in Gastric Gastrointestinal Stromal Tumor Patients
Author(s)
김상운송선교김세원배정민
Keywords
RESECTION; PROGNOSIS; STOMACH
Issue Date
201012
Publisher
KOREAN SURGICAL SOCIETY
Citation
JOURNAL OF THE KOREAN SURGICAL SOCIETY, v.79, no.6, pp.455 - 459
Abstract
Purpose: The stomach is the most frequent site of gastrointestinal stromal tumor (GIST). Surgery remains the only curative treatment for GIST. Resection needs to ensure tumor free margin without lymphadenectomy. Thus partial gastric resection is the treatment of choice for gastric GIST. This study aims to review clinical characteristics between open mild laparoscopic wedge resection group and evaluate safety and efficacy of laparoscopic wedge resection. Methods: Between 1997 and 2008, 74 consecutive patients undergoing open or laparoscopic wedge resection of gastric GISTs were identified in a retrospectively collected database. Preoperative and postoperative variables were analyzed. Results: Wedge resection with negative margin was performed in 74 patients. Laparoscopic wedge resection was performed 19 patients. Open wedge resection was performed in 55 patients. Mean tumor size of laparoscopic group was 2.7 cm (range 0.4 similar to 6.0) and open group was 4.4 cm (range 0.4 similar to 23.0). Mean operation time of laparoscopic group was 150.0 minutes (range 80 similar to 240), and open group was 164.6 minutes (range 75 similar to 360). Mean hospital stay of laparoscopic group was 7.11 days (range 3 similar to 19), and open group was 9.38 days (range 6 similar to 20). There were no significant survival differences between groups. Conclusion: A laparoscopic wedge resection of gastric GIST is associated with short hospitalization and not inferior to open wedge resection in terms of morbidity and mortality. The long-term outcomes between laparoscopic and open wedge resection group in our study were no significant survival differences. Long-term and prospective randomized study. should be performed to confirm oncological safety of laparoscopic wedge resection. (J Korean Surg Soc 2010;79:455-459)
URI
http://hdl.handle.net/YU.REPOSITORY/23273http://dx.doi.org/10.4174/jkss.2010.79.6.455
ISSN
2233-7903
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의과대학 > 성형외과학교실 > Articles
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