Laparoscopic Versus Open Resection for Gastric Gastrointestinal Stromal Tumors (GISTs): A Size–Location-Matched Case–Control Study

Background Laparoscopic resection for gastric gastrointestinal stromal tumors (GISTs) is technically feasible, but the long-term effect remains uncertain. This study aims to compare the long-term oncologic outcomes of laparoscopic versus open resection of GISTs by larger cases based on tumor size–lo...

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Bibliographic Details
Published in:World journal of surgery 2017-09, Vol.41 (9), p.2345-2352
Main Authors: Chi, Jun-Lin, Xu, Mao, Zhang, Ming-Ran, Li, Yuan, Zhou, Zong-Guang
Format: Article
Language:English
Subjects:
Abdominal Surgery
Adult
Aged
Blood Loss, Surgical
Cardiac Surgery
Case-Control Studies
Complications
Defecation
Disease-Free Survival
Eating
Feasibility studies
Female
Gastrectomy - adverse effects
Gastrectomy - methods
Gastrointestinal cancer
Gastrointestinal Stromal Tumors - pathology
Gastrointestinal Stromal Tumors - surgery
General Surgery
Humans
Imatinib
Incidence
Intestine
Intubation, Gastrointestinal
Laparoscopic Group
Laparoscopic Resection
Laparoscopy
Laparoscopy - adverse effects
Length of Stay
Male
Medicine
Medicine & Public Health
Middle Aged
Neoplasm Recurrence, Local - etiology
Oncologic Outcome
Open Group
Operative Time
Original Scientific Report
Pain
Patients
Postoperative Complications - etiology
Recovery of Function
Retention time
Stomach Neoplasms - pathology
Stomach Neoplasms - surgery
Surgery
Thoracic Surgery
Tumor Burden
Tumors
Vascular Surgery
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Description
Summary:Background Laparoscopic resection for gastric gastrointestinal stromal tumors (GISTs) is technically feasible, but the long-term effect remains uncertain. This study aims to compare the long-term oncologic outcomes of laparoscopic versus open resection of GISTs by larger cases based on tumor size–location-matched study. Methods Between 2006 and 2015, 63 consecutive patients with a primary gastric GIST undergoing laparoscopic resection were enrolled in and matched (1:1) to patients undergoing open resection by tumor size and location. Clinical and pathologic parameters and surgical outcomes associated with each surgical type were collected and compared. Results The operation time, intraoperative blood loss, return of bowel function and oral intake, nasogastric tube retention time and postoperative stay were all shorter/faster in laparoscopic group than those in open group ( P  
ISSN:0364-2313
1432-2323
DOI:10.1007/s00268-017-4005-8