Chaoyong Shen, MD, Yuan Yin. west china hospital
Objective: To evaluate the clinical value and safety of laparoscopic resection for gastric gastrointestinal stromal tumors (G-GISTs).
Methods: The clinical data of 25 cases of G-GISTs accepted laparoscopic surgery was collected from January 2010 to July 2015 in the department of gastrointestinal surgery, west china hospital. An analysis was performed to evaluate recovery and safety.
Results: The tumors originated from the stomach(n=25) with diameter<5 cm were collected, the location of tumors was pylorus(n=5), fundus (n=8),body (n=12).All the patients were accepted laparoscopic exploration firstly. 21 cases of gastric GISTs near greater curvature were successful performed laparoscopic partial gastrectomy,the duration time were 45-70 minutes, the average blood loss was 15 ml. The other 4 patients were transferred to open surgery because of the location of the tumor ,especially in the lesser curvature of the stomach. All the patients was able to have liquid food within 4~5 d after operation.The post-operation hospital stay was 7~9 d, with no complications after the operation.
Conclusion: Laparoscopic resection is safe and reliable for G-GISTs patients with diameter <5 cm, especially located in the greater curvature.