Laparoscopic gastric resection for gastrointestinal stromal tumors
Background This study aimed to review clinical outcomes for patients selected to undergo laparoscopic resection for gastrointestinal stromal tumor (GIST) of the stomach. Methods All 112 laparoscopic gastric resections performed from February 1995 to March 2007 were reviewed. Pre- and postoperative v...
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| description | Background
This study aimed to review clinical outcomes for patients selected to undergo laparoscopic resection for gastrointestinal stromal tumor (GIST) of the stomach.
Methods
All 112 laparoscopic gastric resections performed from February 1995 to March 2007 were reviewed. Pre- and postoperative variables were analyzed, and data are given as mean ± standard deviation.
Results
Laparoscopic gastric resection was attempted for 63 GIST in 61 patients (31 men and 30 women) with a mean age was 59.1 ± 19 years. The tumors were located at the fundus (
n
= 19), antrum (
n
= 18), body (
n
= 17), gastroesophageal junction/cardia (
n
= 7), and pylorus (
n
= 2). Common presentations were upper gastrointestinal bleed (
n
= 29) and incidental finding on esophagogastroduodenoscopy (
n
= 17). The laparoscopic procedures performed were partial gastrectomy (
n
= 52), antrectomy (
n
= 4), esophagogastrectomy (
n
= 3), and endoscopically assisted and/or transgastric resection (
n
= 3). There was one conversion to open procedure for control of bleeding from the spleen. The mean tumor size was 3.8 ± 1.8 cm. Negative surgical margins were achieved in all but one case. The mean operative time was 151.9 ± 67.3 min, and the mean estimated blood loss was 97.4 ± 200.7 ml. A regular diet was resumed at a mean of 2.9 ± 1.6 days, and the mean length of hospital stay was 3.9 ± 2.2 days. The perioperative complication rate was 16.4% including deep vein thrombosis postoperative bleed, anastomotic stricture, and incisional hernia. One mortality occurred, due to respiratory failure. The GISTs included 48 rated as low risk, six rated as intermediate risk, and nine rated as high malignant potential. At a mean follow-up period of 15 ± 21.8 months (range, 0–103 months), three of nine patients with high malignant potential GIST experienced, respectively, metastatic disease to the liver, liver and lung, and peritoneum. At this writing, all the other patients are disease free.
Conclusions
Laparoscopic gastric resection for GIST is a feasible option. Adequate oncologic resection was achieved with 98.4% of patients chosen for laparoscopic resection. Resection margin positivity and recurrence rates are low after laparoscopic approaches for appropriately selected patients with GIST, demonstrating favorable characteristics. |
| doi_str_mv | 10.1007/s00464-008-9807-1 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_69797979</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>69797979</sourcerecordid><originalsourceid>FETCH-LOGICAL-c465t-759ceffdc98ca0309d3a045aea024a88e825f5a9417ad69d1b10004c330c67bb3</originalsourceid><addsrcrecordid>eNp1kE1LxDAQhoMouq7-AC-yCHqrTj7aJEdd_IIFL3oOs2m6VNpmTdqD_97ULgqC5PCSyTMzb15CzihcUwB5EwFEITIAlWkFMqN7ZEYFZxljVO2TGWgOGZNaHJHjGN8h4Zrmh-SIKs6Y5GpG7la4xeCj9dvaLjYY-5A0uOhsX_tuUfkwVX3d9S72dYfNYry2Sfuh9SGekIMKm-hOdzonbw_3r8unbPXy-Ly8XWVWFHmfyVxbV1Wl1coicNAlRxA5OgQmUCmnWF7lqAWVWBa6pGs6Gracgy3kes3n5Gqauw3-Y0heTFtH65oGO-eHaAotv08CL_6A734IyXg0jGqhVCFpgugE2fT7GFxltqFuMXwaCmZM10zpmpSuGdM1Y8_5bvCwbl3527GLMwGXOwCjxaYK2Nk6_nAMtOBpe-LYxMX01G1c-HX4__YvYwaSCA</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>219488671</pqid></control><display><type>article</type><title>Laparoscopic gastric resection for gastrointestinal stromal tumors</title><source>MEDLINE</source><source>Springer Nature - Complete Springer Journals</source><creator>Sexton, Jennifer A. ; Pierce, Richard A. ; Halpin, Valerie J. ; Eagon, J. Christopher ; Hawkins, William G. ; Linehan, David C. ; Brunt, L. Michael ; Frisella, Margaret M. ; Matthews, Brent D.</creator><creatorcontrib>Sexton, Jennifer A. ; Pierce, Richard A. ; Halpin, Valerie J. ; Eagon, J. Christopher ; Hawkins, William G. ; Linehan, David C. ; Brunt, L. Michael ; Frisella, Margaret M. ; Matthews, Brent D.</creatorcontrib><description>Background
This study aimed to review clinical outcomes for patients selected to undergo laparoscopic resection for gastrointestinal stromal tumor (GIST) of the stomach.
Methods
All 112 laparoscopic gastric resections performed from February 1995 to March 2007 were reviewed. Pre- and postoperative variables were analyzed, and data are given as mean ± standard deviation.
Results
Laparoscopic gastric resection was attempted for 63 GIST in 61 patients (31 men and 30 women) with a mean age was 59.1 ± 19 years. The tumors were located at the fundus (
n
= 19), antrum (
n
= 18), body (
n
= 17), gastroesophageal junction/cardia (
n
= 7), and pylorus (
n
= 2). Common presentations were upper gastrointestinal bleed (
n
= 29) and incidental finding on esophagogastroduodenoscopy (
n
= 17). The laparoscopic procedures performed were partial gastrectomy (
n
= 52), antrectomy (
n
= 4), esophagogastrectomy (
n
= 3), and endoscopically assisted and/or transgastric resection (
n
= 3). There was one conversion to open procedure for control of bleeding from the spleen. The mean tumor size was 3.8 ± 1.8 cm. Negative surgical margins were achieved in all but one case. The mean operative time was 151.9 ± 67.3 min, and the mean estimated blood loss was 97.4 ± 200.7 ml. A regular diet was resumed at a mean of 2.9 ± 1.6 days, and the mean length of hospital stay was 3.9 ± 2.2 days. The perioperative complication rate was 16.4% including deep vein thrombosis postoperative bleed, anastomotic stricture, and incisional hernia. One mortality occurred, due to respiratory failure. The GISTs included 48 rated as low risk, six rated as intermediate risk, and nine rated as high malignant potential. At a mean follow-up period of 15 ± 21.8 months (range, 0–103 months), three of nine patients with high malignant potential GIST experienced, respectively, metastatic disease to the liver, liver and lung, and peritoneum. At this writing, all the other patients are disease free.
Conclusions
Laparoscopic gastric resection for GIST is a feasible option. Adequate oncologic resection was achieved with 98.4% of patients chosen for laparoscopic resection. Resection margin positivity and recurrence rates are low after laparoscopic approaches for appropriately selected patients with GIST, demonstrating favorable characteristics.</description><identifier>ISSN: 0930-2794</identifier><identifier>EISSN: 1432-2218</identifier><identifier>DOI: 10.1007/s00464-008-9807-1</identifier><identifier>PMID: 18322738</identifier><identifier>CODEN: SUREEX</identifier><language>eng</language><publisher>New York: Springer-Verlag</publisher><subject>Abdominal Surgery ; Adolescent ; Aged ; Biological and medical sciences ; Digestive system. Abdomen ; Endoscopy ; Esophageal Neoplasms - surgery ; Esophagectomy - methods ; Esophagogastric Junction - surgery ; Female ; Follow-Up Studies ; Gastrectomy - methods ; Gastroenterology ; Gastroenterology. Liver. Pancreas. Abdomen ; Gastrointestinal Stromal Tumors - surgery ; General aspects ; Gynecology ; Hepatology ; Humans ; Investigative techniques, diagnostic techniques (general aspects) ; Laparoscopy - methods ; Male ; Medical sciences ; Medicine ; Medicine & Public Health ; Middle Aged ; Neoplasm Metastasis ; Neoplasm Seeding ; Postoperative Complications - epidemiology ; Proctology ; Prognosis ; Pylorus - surgery ; Retrospective Studies ; Risk ; Stomach Neoplasms - surgery ; Stomach. Duodenum. Small intestine. Colon. Rectum. Anus ; Surgery ; Treatment Outcome ; Tumors ; Young Adult</subject><ispartof>Surgical endoscopy, 2008-12, Vol.22 (12), p.2583-2587</ispartof><rights>Springer Science+Business Media, LLC 2008</rights><rights>2009 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c465t-759ceffdc98ca0309d3a045aea024a88e825f5a9417ad69d1b10004c330c67bb3</citedby><cites>FETCH-LOGICAL-c465t-759ceffdc98ca0309d3a045aea024a88e825f5a9417ad69d1b10004c330c67bb3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00464-008-9807-1$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00464-008-9807-1$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,780,784,27924,27925,41488,42557,51319</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=20943867$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/18322738$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Sexton, Jennifer A.</creatorcontrib><creatorcontrib>Pierce, Richard A.</creatorcontrib><creatorcontrib>Halpin, Valerie J.</creatorcontrib><creatorcontrib>Eagon, J. Christopher</creatorcontrib><creatorcontrib>Hawkins, William G.</creatorcontrib><creatorcontrib>Linehan, David C.</creatorcontrib><creatorcontrib>Brunt, L. Michael</creatorcontrib><creatorcontrib>Frisella, Margaret M.</creatorcontrib><creatorcontrib>Matthews, Brent D.</creatorcontrib><title>Laparoscopic gastric resection for gastrointestinal stromal tumors</title><title>Surgical endoscopy</title><addtitle>Surg Endosc</addtitle><addtitle>Surg Endosc</addtitle><description>Background
This study aimed to review clinical outcomes for patients selected to undergo laparoscopic resection for gastrointestinal stromal tumor (GIST) of the stomach.
Methods
All 112 laparoscopic gastric resections performed from February 1995 to March 2007 were reviewed. Pre- and postoperative variables were analyzed, and data are given as mean ± standard deviation.
Results
Laparoscopic gastric resection was attempted for 63 GIST in 61 patients (31 men and 30 women) with a mean age was 59.1 ± 19 years. The tumors were located at the fundus (
n
= 19), antrum (
n
= 18), body (
n
= 17), gastroesophageal junction/cardia (
n
= 7), and pylorus (
n
= 2). Common presentations were upper gastrointestinal bleed (
n
= 29) and incidental finding on esophagogastroduodenoscopy (
n
= 17). The laparoscopic procedures performed were partial gastrectomy (
n
= 52), antrectomy (
n
= 4), esophagogastrectomy (
n
= 3), and endoscopically assisted and/or transgastric resection (
n
= 3). There was one conversion to open procedure for control of bleeding from the spleen. The mean tumor size was 3.8 ± 1.8 cm. Negative surgical margins were achieved in all but one case. The mean operative time was 151.9 ± 67.3 min, and the mean estimated blood loss was 97.4 ± 200.7 ml. A regular diet was resumed at a mean of 2.9 ± 1.6 days, and the mean length of hospital stay was 3.9 ± 2.2 days. The perioperative complication rate was 16.4% including deep vein thrombosis postoperative bleed, anastomotic stricture, and incisional hernia. One mortality occurred, due to respiratory failure. The GISTs included 48 rated as low risk, six rated as intermediate risk, and nine rated as high malignant potential. At a mean follow-up period of 15 ± 21.8 months (range, 0–103 months), three of nine patients with high malignant potential GIST experienced, respectively, metastatic disease to the liver, liver and lung, and peritoneum. At this writing, all the other patients are disease free.
Conclusions
Laparoscopic gastric resection for GIST is a feasible option. Adequate oncologic resection was achieved with 98.4% of patients chosen for laparoscopic resection. Resection margin positivity and recurrence rates are low after laparoscopic approaches for appropriately selected patients with GIST, demonstrating favorable characteristics.</description><subject>Abdominal Surgery</subject><subject>Adolescent</subject><subject>Aged</subject><subject>Biological and medical sciences</subject><subject>Digestive system. Abdomen</subject><subject>Endoscopy</subject><subject>Esophageal Neoplasms - surgery</subject><subject>Esophagectomy - methods</subject><subject>Esophagogastric Junction - surgery</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Gastrectomy - methods</subject><subject>Gastroenterology</subject><subject>Gastroenterology. Liver. Pancreas. Abdomen</subject><subject>Gastrointestinal Stromal Tumors - surgery</subject><subject>General aspects</subject><subject>Gynecology</subject><subject>Hepatology</subject><subject>Humans</subject><subject>Investigative techniques, diagnostic techniques (general aspects)</subject><subject>Laparoscopy - methods</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Middle Aged</subject><subject>Neoplasm Metastasis</subject><subject>Neoplasm Seeding</subject><subject>Postoperative Complications - epidemiology</subject><subject>Proctology</subject><subject>Prognosis</subject><subject>Pylorus - surgery</subject><subject>Retrospective Studies</subject><subject>Risk</subject><subject>Stomach Neoplasms - surgery</subject><subject>Stomach. Duodenum. Small intestine. Colon. Rectum. Anus</subject><subject>Surgery</subject><subject>Treatment Outcome</subject><subject>Tumors</subject><subject>Young Adult</subject><issn>0930-2794</issn><issn>1432-2218</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2008</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNp1kE1LxDAQhoMouq7-AC-yCHqrTj7aJEdd_IIFL3oOs2m6VNpmTdqD_97ULgqC5PCSyTMzb15CzihcUwB5EwFEITIAlWkFMqN7ZEYFZxljVO2TGWgOGZNaHJHjGN8h4Zrmh-SIKs6Y5GpG7la4xeCj9dvaLjYY-5A0uOhsX_tuUfkwVX3d9S72dYfNYry2Sfuh9SGekIMKm-hOdzonbw_3r8unbPXy-Ly8XWVWFHmfyVxbV1Wl1coicNAlRxA5OgQmUCmnWF7lqAWVWBa6pGs6Gracgy3kes3n5Gqauw3-Y0heTFtH65oGO-eHaAotv08CL_6A734IyXg0jGqhVCFpgugE2fT7GFxltqFuMXwaCmZM10zpmpSuGdM1Y8_5bvCwbl3527GLMwGXOwCjxaYK2Nk6_nAMtOBpe-LYxMX01G1c-HX4__YvYwaSCA</recordid><startdate>20081201</startdate><enddate>20081201</enddate><creator>Sexton, Jennifer A.</creator><creator>Pierce, Richard A.</creator><creator>Halpin, Valerie J.</creator><creator>Eagon, J. Christopher</creator><creator>Hawkins, William G.</creator><creator>Linehan, David C.</creator><creator>Brunt, L. Michael</creator><creator>Frisella, Margaret M.</creator><creator>Matthews, Brent D.</creator><general>Springer-Verlag</general><general>Springer</general><general>Springer Nature B.V</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1P</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope></search><sort><creationdate>20081201</creationdate><title>Laparoscopic gastric resection for gastrointestinal stromal tumors</title><author>Sexton, Jennifer A. ; Pierce, Richard A. ; Halpin, Valerie J. ; Eagon, J. Christopher ; Hawkins, William G. ; Linehan, David C. ; Brunt, L. Michael ; Frisella, Margaret M. ; Matthews, Brent D.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c465t-759ceffdc98ca0309d3a045aea024a88e825f5a9417ad69d1b10004c330c67bb3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2008</creationdate><topic>Abdominal Surgery</topic><topic>Adolescent</topic><topic>Aged</topic><topic>Biological and medical sciences</topic><topic>Digestive system. Abdomen</topic><topic>Endoscopy</topic><topic>Esophageal Neoplasms - surgery</topic><topic>Esophagectomy - methods</topic><topic>Esophagogastric Junction - surgery</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Gastrectomy - methods</topic><topic>Gastroenterology</topic><topic>Gastroenterology. Liver. Pancreas. Abdomen</topic><topic>Gastrointestinal Stromal Tumors - surgery</topic><topic>General aspects</topic><topic>Gynecology</topic><topic>Hepatology</topic><topic>Humans</topic><topic>Investigative techniques, diagnostic techniques (general aspects)</topic><topic>Laparoscopy - methods</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Middle Aged</topic><topic>Neoplasm Metastasis</topic><topic>Neoplasm Seeding</topic><topic>Postoperative Complications - epidemiology</topic><topic>Proctology</topic><topic>Prognosis</topic><topic>Pylorus - surgery</topic><topic>Retrospective Studies</topic><topic>Risk</topic><topic>Stomach Neoplasms - surgery</topic><topic>Stomach. Duodenum. Small intestine. Colon. Rectum. Anus</topic><topic>Surgery</topic><topic>Treatment Outcome</topic><topic>Tumors</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Sexton, Jennifer A.</creatorcontrib><creatorcontrib>Pierce, Richard A.</creatorcontrib><creatorcontrib>Halpin, Valerie J.</creatorcontrib><creatorcontrib>Eagon, J. Christopher</creatorcontrib><creatorcontrib>Hawkins, William G.</creatorcontrib><creatorcontrib>Linehan, David C.</creatorcontrib><creatorcontrib>Brunt, L. Michael</creatorcontrib><creatorcontrib>Frisella, Margaret M.</creatorcontrib><creatorcontrib>Matthews, Brent D.</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><jtitle>Surgical endoscopy</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Sexton, Jennifer A.</au><au>Pierce, Richard A.</au><au>Halpin, Valerie J.</au><au>Eagon, J. Christopher</au><au>Hawkins, William G.</au><au>Linehan, David C.</au><au>Brunt, L. Michael</au><au>Frisella, Margaret M.</au><au>Matthews, Brent D.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Laparoscopic gastric resection for gastrointestinal stromal tumors</atitle><jtitle>Surgical endoscopy</jtitle><stitle>Surg Endosc</stitle><addtitle>Surg Endosc</addtitle><date>2008-12-01</date><risdate>2008</risdate><volume>22</volume><issue>12</issue><spage>2583</spage><epage>2587</epage><pages>2583-2587</pages><issn>0930-2794</issn><eissn>1432-2218</eissn><coden>SUREEX</coden><abstract>Background
This study aimed to review clinical outcomes for patients selected to undergo laparoscopic resection for gastrointestinal stromal tumor (GIST) of the stomach.
Methods
All 112 laparoscopic gastric resections performed from February 1995 to March 2007 were reviewed. Pre- and postoperative variables were analyzed, and data are given as mean ± standard deviation.
Results
Laparoscopic gastric resection was attempted for 63 GIST in 61 patients (31 men and 30 women) with a mean age was 59.1 ± 19 years. The tumors were located at the fundus (
n
= 19), antrum (
n
= 18), body (
n
= 17), gastroesophageal junction/cardia (
n
= 7), and pylorus (
n
= 2). Common presentations were upper gastrointestinal bleed (
n
= 29) and incidental finding on esophagogastroduodenoscopy (
n
= 17). The laparoscopic procedures performed were partial gastrectomy (
n
= 52), antrectomy (
n
= 4), esophagogastrectomy (
n
= 3), and endoscopically assisted and/or transgastric resection (
n
= 3). There was one conversion to open procedure for control of bleeding from the spleen. The mean tumor size was 3.8 ± 1.8 cm. Negative surgical margins were achieved in all but one case. The mean operative time was 151.9 ± 67.3 min, and the mean estimated blood loss was 97.4 ± 200.7 ml. A regular diet was resumed at a mean of 2.9 ± 1.6 days, and the mean length of hospital stay was 3.9 ± 2.2 days. The perioperative complication rate was 16.4% including deep vein thrombosis postoperative bleed, anastomotic stricture, and incisional hernia. One mortality occurred, due to respiratory failure. The GISTs included 48 rated as low risk, six rated as intermediate risk, and nine rated as high malignant potential. At a mean follow-up period of 15 ± 21.8 months (range, 0–103 months), three of nine patients with high malignant potential GIST experienced, respectively, metastatic disease to the liver, liver and lung, and peritoneum. At this writing, all the other patients are disease free.
Conclusions
Laparoscopic gastric resection for GIST is a feasible option. Adequate oncologic resection was achieved with 98.4% of patients chosen for laparoscopic resection. Resection margin positivity and recurrence rates are low after laparoscopic approaches for appropriately selected patients with GIST, demonstrating favorable characteristics.</abstract><cop>New York</cop><pub>Springer-Verlag</pub><pmid>18322738</pmid><doi>10.1007/s00464-008-9807-1</doi><tpages>5</tpages></addata></record> |
| fulltext | fulltext |
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| ispartof | Surgical endoscopy, 2008-12, Vol.22 (12), p.2583-2587 |
| issn | 0930-2794 1432-2218 |
| language | eng |
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| source | MEDLINE; Springer Nature - Complete Springer Journals |
| subjects | Abdominal Surgery Adolescent Aged Biological and medical sciences Digestive system. Abdomen Endoscopy Esophageal Neoplasms - surgery Esophagectomy - methods Esophagogastric Junction - surgery Female Follow-Up Studies Gastrectomy - methods Gastroenterology Gastroenterology. Liver. Pancreas. Abdomen Gastrointestinal Stromal Tumors - surgery General aspects Gynecology Hepatology Humans Investigative techniques, diagnostic techniques (general aspects) Laparoscopy - methods Male Medical sciences Medicine Medicine & Public Health Middle Aged Neoplasm Metastasis Neoplasm Seeding Postoperative Complications - epidemiology Proctology Prognosis Pylorus - surgery Retrospective Studies Risk Stomach Neoplasms - surgery Stomach. Duodenum. Small intestine. Colon. Rectum. Anus Surgery Treatment Outcome Tumors Young Adult |
| title | Laparoscopic gastric resection for gastrointestinal stromal tumors |
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