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Single-incision intragastric resection for upper and mid gastric submucosal tumors: a case-series study

Authors :
Gwang Ha Kim
Do Youn Park
Si Hak Lee
Chang In Choi
Dae Hwan Kim
Dong Heon Kim
Sun Hwi Hwang
Tae Yong Jeon
Source :
Annals of Surgical Treatment and Research
Publication Year :
2014
Publisher :
The Korean Surgical Society, 2014.

Abstract

Purpose: Laparoscopic gastric wedge resection is a standard treatment for removing gastric submucosal tumors (SMTs). So far, however, there have been few reports of single-incision laparoscopic intragastric wedge resection. Our aim was to describe this procedure and our experience with it. Methods: From January 2010 to December 2013, a total of 21 consecutive patients with gastric SMTs underwent singleincision intragastric resection at our institution. Their clinicopathologic data were analyzed retrospectively. Results: The patients consisted of nine men and 12 women with a mean age of 51.9 ± 12.9 years (22?69 years). Their mean body mass index was 22.6 ± 2.0 kg/m2. Mean tumor size was 2.4 ± 0.7 cm, with the following anatomic distribution: esophagogastric junction in three patients, fundus in twelve, upper body in three, and lower body in two. Mean operating time was 68.6 ± 12.0 minutes. There were no conversions to open surgery and no major intraoperative complications. Time to resumption of water intake was 1.4 ± 0.5 days. Mean hospital stay was 4.9 ± 1.7 days. There were no recurrences or deaths during the mean 19-month follow-up. Conclusion: Single-incision intragastric wedge resection is a feasible and safe procedure. It is especially efficient for treating small endophytic gastric SMTs located on the upper and mid portion of the stomach.

Details

ISSN :
22886796 and 22886575
Volume :
87
Database :
OpenAIRE
Journal :
Annals of Surgical Treatment and Research
Accession number :
edsair.doi.dedup.....621f6f59d9aae6c06831f2e954a3bb59
Full Text :
https://doi.org/10.4174/astr.2014.87.6.304