Retrospective Comparison of Endoscopic Full-Thickness Versus Laparoscopic or Surgical Resection of Small (≤ 5 cm) Gastric Gastrointestinal Stromal Tumors
Autor: | Tingsheng Ling, Ying Lv, Bin Zhang, Xiaoqi Zhang, Qin Huang, Yan Zhao, Xiaoping Zou, Taohong Pang, Guifang Xu, Lei Wang |
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Rok vydání: | 2019 |
Předmět: |
Surgical resection
Laparoscopic surgery medicine.medical_specialty GiST business.industry Stomach medicine.medical_treatment fungi Gastroenterology Perioperative Surgery 03 medical and health sciences 0302 clinical medicine medicine.anatomical_structure 030220 oncology & carcinogenesis medicine 030211 gastroenterology & hepatology Full thickness Gastric Gastrointestinal Stromal Tumor business Pathological |
Zdroj: | Journal of Gastrointestinal Surgery. 24:2714-2721 |
ISSN: | 1873-4626 1091-255X |
Popis: | The aim of this study was to compare the efficacy and safety between endoscopic full-thickness resection (EFR) and laparoscopic or surgical resection methods for gastric gastrointestinal stromal tumor (GIST) in size of 5.0 cm or less. Gastric GISTs are common, and resection is the most effective treatment. We retrospectively reviewed 216 resections of gastric GISTs in size of up to 5.0 cm at our center from 2009 to 2017.Eligible resection cases were divided into EFR (n = 85), laparoscopic(n = 64), and surgical (n = 67) groups. The clinical records, patient demographic, symptoms, perioperative data, pathological findings, and long-term follow-up outcomes were collected and compared statistically. No tumor rupture or recurrence occurred in the three groups. The prevalence of complications was significantly lower in EFR (5.9%) than both laparoscopic (7.8%) and surgical group (16.4%) (P |
Databáze: | OpenAIRE |
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