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
Rok vydání: 2019
Předmět:
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