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Gastric gastrointestinal stromal tumors: clinical features and short- and long-term outcomes of laparoscopic resection

INTRODUCTION: Although minimally invasive techniques are currently recognized as effective and validated treatment for small gastric gastrointestinal stromal tumors (GISTs), the role of laparoscopy is not yet established, especially in the institutions that have less experience in minimally invasive...

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Autores principales: Stanek, Maciej, Pisarska, Magdalena, Budzyńska, Dorota, Rzepa, Anna, Pędziwiatr, Michał, Major, Piotr, Budzyński, Andrzej
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Termedia Publishing House 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6528128/
https://www.ncbi.nlm.nih.gov/pubmed/31118980
http://dx.doi.org/10.5114/wiitm.2019.83868
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author Stanek, Maciej
Pisarska, Magdalena
Budzyńska, Dorota
Rzepa, Anna
Pędziwiatr, Michał
Major, Piotr
Budzyński, Andrzej
author_facet Stanek, Maciej
Pisarska, Magdalena
Budzyńska, Dorota
Rzepa, Anna
Pędziwiatr, Michał
Major, Piotr
Budzyński, Andrzej
author_sort Stanek, Maciej
collection PubMed
description INTRODUCTION: Although minimally invasive techniques are currently recognized as effective and validated treatment for small gastric gastrointestinal stromal tumors (GISTs), the role of laparoscopy is not yet established, especially in the institutions that have less experience in minimally invasive surgery. AIM: To evaluate the outcomes of laparoscopic treatment of gastric gastrointestinal stromal tumors compared to the results obtained in a group of patients treated with conventional surgery. MATERIAL AND METHODS: A retrospective analysis of data collected for a group of 68 patients treated for gastric GIST in the period from 2002 to 2017 was performed. Forty-six patients were treated laparoscopically (group 1) and 22 patients underwent conventional surgery (group 2). The analyzed medical data included clinical and pathomorphological features of removed tumors, perioperative parameters as well as short and long-term results of surgical treatment. RESULTS: Histopathological examination confirmed radical resection for all patients. No deaths were reported in the 30-day post-operative period. Patients in group 1 had significantly shorter length of hospital stay (3 vs. 9 days), less intra-operative blood loss (25 vs. 175 ml) and fewer perioperative complications (13% vs. 41%) compared to group 2. The mean post-operative follow-up was 57 months. During this period, four patients died for reasons unrelated to the primary disease. None of the patients who underwent a laparoscopic procedure had a recurrence of the tumor in the follow-up period. CONCLUSIONS: Laparoscopy in the treatment of gastric GISTs has unquestionable advantages, including decreased blood loss, reduced risk of complications, and shorter hospital stay.
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spelling pubmed-65281282019-05-22 Gastric gastrointestinal stromal tumors: clinical features and short- and long-term outcomes of laparoscopic resection Stanek, Maciej Pisarska, Magdalena Budzyńska, Dorota Rzepa, Anna Pędziwiatr, Michał Major, Piotr Budzyński, Andrzej Wideochir Inne Tech Maloinwazyjne Original Paper INTRODUCTION: Although minimally invasive techniques are currently recognized as effective and validated treatment for small gastric gastrointestinal stromal tumors (GISTs), the role of laparoscopy is not yet established, especially in the institutions that have less experience in minimally invasive surgery. AIM: To evaluate the outcomes of laparoscopic treatment of gastric gastrointestinal stromal tumors compared to the results obtained in a group of patients treated with conventional surgery. MATERIAL AND METHODS: A retrospective analysis of data collected for a group of 68 patients treated for gastric GIST in the period from 2002 to 2017 was performed. Forty-six patients were treated laparoscopically (group 1) and 22 patients underwent conventional surgery (group 2). The analyzed medical data included clinical and pathomorphological features of removed tumors, perioperative parameters as well as short and long-term results of surgical treatment. RESULTS: Histopathological examination confirmed radical resection for all patients. No deaths were reported in the 30-day post-operative period. Patients in group 1 had significantly shorter length of hospital stay (3 vs. 9 days), less intra-operative blood loss (25 vs. 175 ml) and fewer perioperative complications (13% vs. 41%) compared to group 2. The mean post-operative follow-up was 57 months. During this period, four patients died for reasons unrelated to the primary disease. None of the patients who underwent a laparoscopic procedure had a recurrence of the tumor in the follow-up period. CONCLUSIONS: Laparoscopy in the treatment of gastric GISTs has unquestionable advantages, including decreased blood loss, reduced risk of complications, and shorter hospital stay. Termedia Publishing House 2019-03-26 2019-04 /pmc/articles/PMC6528128/ /pubmed/31118980 http://dx.doi.org/10.5114/wiitm.2019.83868 Text en Copyright: © 2019 Fundacja Videochirurgii http://creativecommons.org/licenses/by-nc-sa/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International (CC BY-NC-SA 4.0) License, allowing third parties to copy and redistribute the material in any medium or format and to remix, transform, and build upon the material, provided the original work is properly cited and states its license.
spellingShingle Original Paper
Stanek, Maciej
Pisarska, Magdalena
Budzyńska, Dorota
Rzepa, Anna
Pędziwiatr, Michał
Major, Piotr
Budzyński, Andrzej
Gastric gastrointestinal stromal tumors: clinical features and short- and long-term outcomes of laparoscopic resection
title Gastric gastrointestinal stromal tumors: clinical features and short- and long-term outcomes of laparoscopic resection
title_full Gastric gastrointestinal stromal tumors: clinical features and short- and long-term outcomes of laparoscopic resection
title_fullStr Gastric gastrointestinal stromal tumors: clinical features and short- and long-term outcomes of laparoscopic resection
title_full_unstemmed Gastric gastrointestinal stromal tumors: clinical features and short- and long-term outcomes of laparoscopic resection
title_short Gastric gastrointestinal stromal tumors: clinical features and short- and long-term outcomes of laparoscopic resection
title_sort gastric gastrointestinal stromal tumors: clinical features and short- and long-term outcomes of laparoscopic resection
topic Original Paper
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6528128/
https://www.ncbi.nlm.nih.gov/pubmed/31118980
http://dx.doi.org/10.5114/wiitm.2019.83868
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