Norimasa Koide, Kazuyoshi Suda. Niigatakensaiseikai Sanjyo Hospital
Introduction: Gastrointestinal stromal tumors (GISTs) are the most common types of mesenchymal tumors of the gastrointestinal tract, and these tumors occur most frequently in the stomach. Complete resection is the curative treatment for limited gastric GIST. Many reports showed laparoscopic resection was useful procedure for gastric GIST. Recently several reports shows laparoscopic and endoscopic cooperative surgery (LECS) appears to be a preferable choice. The aim of this study is to investigate the LECS for gastric GIST in our institution.
Methods and Procedures: From April 2017 and September 2018, three patients with gastric GIST underwent LECS at our institution. The surgical outcomes were analyzed retrospectively.
Results: The patients consisted of one man and two women with a mean age of 69 years (ranging from 53-80). Mean tumor size was 5.7cm (ranging from 3.2-100), with the following anatomic distribution: fornix in two and body in one respectively. Mean operating time was 269 minutes (ranging from 104-352), and mean blood loss was 128 ml (ranging from 5-360). There were no conversions to open surgery and no major intraoperative complications. The time to resumption of food intake was 2 days (ranging 1-3) and average length of postoperative hospital stay was 16 days (ranging from 5-33). Postoperative complications were neurogenic bladder dysfunction. There were no recurrences and deaths because of gastric GIST.
Conclusion: LECS for gastric GIST is a safe and feasible procedure except for longer operative time because there were no major surgical complications during perioperative period.
Presented at the SAGES 2017 Annual Meeting in Houston, TX.
Abstract ID: 94425
Program Number: P527
Presentation Session: Poster Session (Non CME)
Presentation Type: Poster