Norimasa Koide1, Takao Kuno2, Shigemi Onoue2, Katsushi Yoshida2, Takahiro Mizukawa2, Kenji Kato2. 1Ikeda Hospital, 2Inazawa Municipal 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. Several reports shows laparoscopic resection appears to be a preferable choice. The aim of this study is to investigate the laparoscopic resection for gastric GIST in our institution
Methods and procedures: From January 2011 and June 2016, five patients with gastric GIST underwent laparoscopic resection at our institution. The surgical outcomes were analyzed retrospectively.
Results: The patients consisted of two men and three women with a mean age of 67 years (ranging from 48-78). Mean tumor size was 4.5cm (ranging from 2.6-5.6), with the following anatomic distribution: body in two, cardia, fornix, and antrum in one respectively. The operative procedures were 4 partial gastrectomy (two laparoscopic endoscopic cooperative surgery, one single incision laparoscopic surgery, and one laparoscopic intragastric surgery) and one laparoscopic proximal gastrectomy. Mean operating time was 304 minutes (ranging from 129-466), and mean blood loss was 29 ml (ranging from 3-120). There were no conversions to open surgery and no major intraoperative complications. The time to resumption of food intake was 4.2 days (ranging 2-6) and average length of postoperative hospital stay was 11.2 days (ranging from 5-17). Postoperative complications were intragastric bleeding and delirium. There were no recurrences and deaths because of gastric GIST.
Conclusion: Laparoscopic resection for gastric GIST is a safe and feasible procedure except for longer operative time because there were no major complications during perioperative period.
Presented at the SAGES 2017 Annual Meeting in Houston, TX.
Abstract ID: 79129
Program Number: P376
Presentation Session: Poster (Non CME)
Presentation Type: Poster
