• Skip to primary navigation
  • Skip to main content
  • Skip to primary sidebar
  • Skip to footer

SAGES

Reimagining surgical care for a healthier world

  • Home
    • COVID-19 Annoucements
    • Search
    • SAGES Home
    • SAGES Foundation Home
  • About
    • Who is SAGES?
    • SAGES Mission Statement
    • Advocacy
    • Strategic Plan, 2020-2023
    • Committees
      • Request to Join a SAGES Committee
      • SAGES Board of Governors
      • Officers and Representatives of the Society
      • Committee Chairs and Co-Chairs
      • Full Committee Rosters
      • SAGES Past Presidents
    • Donate to the SAGES Foundation
    • Awards
      • George Berci Award
      • Pioneer in Surgical Endoscopy
      • Excellence In Clinical Care
      • International Ambassador
      • IRCAD Visiting Fellowship
      • Social Justice and Health Equity
      • Excellence in Community Surgery
      • Distinguished Service
      • Early Career Researcher
      • Researcher in Training
      • Jeff Ponsky Master Educator
      • Excellence in Medical Leadership
      • Barbara Berci Memorial Award
      • Brandeis Scholarship
      • Advocacy Summit
      • RAFT Annual Meeting Abstract Contest and Awards
  • Meetings
    • NBT Innovation Weekend
    • SAGES Annual Meeting
      • 2023 Scientific Session Call For Abstracts
      • 2023 Emerging Technology Call For Abstracts
    • CME Claim Form
    • Industry
      • Advertising Opportunities
      • Exhibit Opportunities
      • Sponsorship Opportunities
    • Future Meetings
    • Past Meetings
      • SAGES 2022
      • SAGES 2021
    • Related Meetings Calendar
  • Join SAGES!
    • Membership Benefits
    • Membership Applications
      • Active Membership
      • Affiliate Membership
      • Associate Active Membership
      • Candidate Membership
      • International Membership
      • Medical Student Membership
    • Member News
      • Member Spotlight
      • Give the Gift of SAGES Membership
  • Patients
    • Healthy Sooner – Patient Information for Minimally Invasive Surgery
    • Patient Information Brochures
    • Choosing Wisely – An Initiative of the ABIM Foundation
    • All in the Recovery: Colorectal Cancer Alliance
    • Find a SAGES Member
  • Publications
    • SAGES Stories Podcast
    • SAGES Clinical / Practice / Training Guidelines, Statements, and Standards of Practice
    • Patient Information Brochures
    • TAVAC – Technology and Value Assessments
    • Surgical Endoscopy and Other Journal Information
    • SAGES Manuals
    • SCOPE – The SAGES Newsletter
    • COVID-19 Annoucements
    • Troubleshooting Guides
  • Education
    • OpiVoid.org
    • SAGES.TV Video Library
    • Safe Cholecystectomy Program
      • Safe Cholecystectomy Didactic Modules
    • Masters Program
      • SAGES Facebook Program Collaboratives
      • Acute Care Surgery
      • Bariatric
      • Biliary
      • Colorectal
      • Flexible Endoscopy (upper or lower)
      • Foregut
      • Hernia
      • Robotics
    • Educational Opportunities
    • HPB/Solid Organ Program
    • Courses for Residents
      • Advanced Courses
      • Basic Courses
    • Video Based Assessments (VBA)
    • Robotics Fellows Course
    • MIS Fellows Course
    • Facebook Livestreams
    • Free Webinars For Residents
    • SMART Enhanced Recovery Program
    • SAGES OR SAFETY Video
    • SAGES at Cine-Med
      • SAGES Top 21 MIS Procedures
      • SAGES Pearls
      • SAGES Flexible Endoscopy 101
      • SAGES Tips & Tricks of the Top 21
  • Opportunities
    • NEW-Area of Concentrated Training Seal (ACT)-Advanced Flexible Endoscopy-Coming Soon!
    • SAGES Fellowship Certification for Advanced GI MIS and Comprehensive Flexible Endoscopy
    • Multi-Society Foregut Fellowship Certification
    • SAGES Research Opportunities
    • Fundamentals of Laparoscopic Surgery
    • Fundamentals of Endoscopic Surgery
    • Fundamental Use of Surgical Energy
    • Job Board
    • SAGES Go Global: Global Affairs and Humanitarian Efforts
  • Search
    • Search All SAGES Content
    • Search SAGES Guidelines
    • Search the Video Library
    • Search the Image Library
    • Search the Abstracts Archive
  • Store
    • “Unofficial” Logo Products
  • Log In

Single Incision versus traditional Laparoscopic Resection in Gastric GIST: A Retrospective Cohort Analysis of 39 cases at a single tertiary care center

Kong Jing, MD, Wu Shuo-dong, MD, Su Yang, MD, Fan Ying, MD. China Medical University Shengjing Hospital.

INTRODUCTION
GISTs are potentially malignant tumors and clinical practice guidelines for GISTs recommend surgical resection if it can be completely resected. Laparoscopic gastrectomy is now being accepted as a safe and feasible surgical procedure for GISTs owing to its better postoperative outcomes. In recent years, SILS has been performed for GISTs by some laparoscopic surgeons interested in further minimizing the invasiveness of laparoscopic surgery. In this current report, we present the cases with GISTs treated by SILS and traditional laparoscopic partial gastrectomy respectively to assess the safety and feasibility of SILS.

METHODS
Data of gastric GISTs who had laparoscopic treatment were analyzed retrospectively. Of 39 patients at Shengjing Hospital of China Medical University between April 2008 and December 2012, 19 cases were treated by SILS partial gastrectomy (SILS group). Traditional laparoscopy was performed in the other 20 cases (conventional group). All the laparoscopic operations were performed by the same experienced surgeon.
Demographic data, operative details, recovery parameters, and details of the specimen were obtained and analyzed based on the information obtained from the medical records. The location of tumor was evaluated by preoperative CT and EUS, also it was confirmed during the operation. Tumor size, grade and malignant risk were evaluated by pathology.
Our standard clinical practice includes evaluating patients every 6 months until 5 years after operation with imaging and endoscopy to confirm the recurrence, and the adjuvant Glivec were performed for the patients with intermediate and high risk.

RESULTS
The mean age and BMI were similar. Female were predominant in both groups (16female vs 3male, 12female vs 8male, respectively). The tumors can be seen at the fundus (9 vs 8), greater gastric curvature (3 vs 2), lesser gastric curvature (4 vs 5), the anterior (1 vs 1) and the posterior wall (2 vs 4). Tumor size (2.8±1.7 vs 2.6±1.7cm, p=0.716) and malignant risk grade were similar in both groups.
All the patients were performed partial gastrectomy successfully. The only significant difference between the two groups was operative time, which was shorter in SILS group (99.0±14 vs 112.2±24.5minutes, p=0.045). Though the blood loss was less in SILS group, there was no statistical difference between them (49.5±15.4 vs 60.3±22.4ml, p=0.09). And the mean postoperative hospital stay was similar in both groups (12.8±3.2 vs 12.3±2.6days, p=0.529). No cases were converted to open surgery, and there were no conversions to traditional laparoscopic surgery in SILS group. The resection margins were tumor free confirmed by pathology. No intraoperative or postoperative complications such as anastomotic leakage, bleeding, anastomotic stenosis or incision hernia were experienced.
All the patients were ambulant on the first postoperative day and regained liquid diet on the first postoperative day. 4 patients with intermediate risk in both groups were given Glivec by oral administration as adjuvant therapy for one year. During the median follow-up of 28 months, there was no disease recurrence on endoscopy and on CT.

CONCLUSIONS
Compared with the traditional laparoscopic procedure, SILS in gastric stromal tumors is feasible and safe when performed by experienced surgeons.
 

View Poster

69

Share this:

  • Twitter
  • Facebook
  • LinkedIn
  • Pinterest
  • WhatsApp
  • Reddit

Related

« Return to SAGES 2014 abstract archive

Our Mission

Innovate, educate and collaborate to improve patient care.

Recently, on SAGES…

Critical View of Safety (CVS) Challenge QR Code

The SAGES Critical View of Safety Challenge – Donate Your Lap Chole Videos!

The Society of American Gastrointestinal and Endoscopic Surgeons is hosting the first Artificial Intelligence Data Challenge conducted by surgeons. The aim of this challenge is to generate a large and diverse dataset of laparoscopic cholecystectomy videos, annotated with respect to the subcomponents of the Critical View of Safety (CVS). Computer scientists from all over the […]

Respuesta de SAGES al Estudio NordICC sobre el beneficio de las colonoscopias de detección

SAGES desea aclarar los resultados del estudio NordICC y colocarlos en contexto de los esfuerzos de varias agencias nacionales para reducir el riesgo de cáncer colorrectal – la segunda causa de muerte por cáncer más frecuente en los Estados Unidos-, mediante la promoción de la detección y tratamiento oportuno de las lesiones.

SAGES Response to NordICC Study Regarding Benefit of Screening Colonoscopies

The NordICC Study recently published in The New England Journal of Medicine and widely reported on by media outlets has raised questions regarding the benefit of screening colonoscopy in lowering the risk of colorectal cancer and cancer-related deaths among otherwise healthy and symptom-free men and women aged 55 to 64. Provocative headlines and commentaries have […]

Contact SAGES

Society of American Gastrointestinal and Endoscopic Surgeons
11300 W. Olympic Blvd Suite 600
Los Angeles, CA 90064 USA
webmaster@sages.org
Tel: (310) 437-0544

Find Us Around the Web!

  • Facebook
  • Twitter
  • YouTube

Important Links

SAGES 2023 Meeting Information

Healthy Sooner: Patient Information

SAGES Guidelines, Statements, & Standards of Practice

SAGES Manuals

 

  • taTME Study Info
  • Foundation
  • SAGES.TV
  • MyCME
  • Educational Activities

Copyright © 2023 Society of American Gastrointestinal and Endoscopic Surgeons