A gasless laparoscopic technique of wide excision for gastric gastrointestinal stromal tumor versus open method

World Journal of Surgical Oncology

Ming-Tsan Lin³  I-Rue Lai³  Chiung-Nien Chen³  Ching-Yao Yang³  Peng-Sheng Lai²  Po-Chu Lee¹ 

[1] Department of Trauma, National Taiwan University Hospital, No.7 Chung-Shan South Road, Taipei 100, Taiwan;Department of General Surgery, National Taiwan University Hospital, Yun-Lin Branch, No.579, Sec. 2, Yunlin Rd., Douliu City, Yunlin County, 640, Taiwan;Department of General Surgery, National Taiwan University Hospital, No.7 Chung-Shan South Road, Taipei 100, Taiwan

关键词: Surgical instruments;    Laparoscopic surgery;    Gastrointestinal stromal tumors;   

Others  :  826227
DOI  :  10.1186/1477-7819-11-44

 received in 2012-10-22, accepted in 2013-02-15,  发布年份 2013

【 摘 要 】

Background

Traditional open surgery for gastrointestinal stromal tumors (GIST) requires a long incision. Moreover, the gas-filling laparoscopic technique used in GIST surgery still has its limitations. Therefore, we developed a gasless laparoscopic (GL) surgery for GIST and compared it with traditional open surgery.

Methods

Between October 2007 and September 2009, 62 GIST patients in the National Taiwan University Hospital received wide excisions. Of these 62 patients, 30 underwent the new procedure (GL group) and 32 had open surgery (OS group). Preoperative and postoperative clinicopathologic characteristics were compared between the groups.

Results

There were no significant differences in preoperative characteristics or blood loss. However, the days to first flatus, postoperative hospital stay, wound length, white blood cell count at postoperative day one, and peak daily body temperature were all significantly improved in the GL group. Usage of postoperative analgesia on postoperative days one to five was also significantly lower in the GL group.

Conclusions

Wide-excision laparoscopy for gastric GIST can be performed more safely, more effectively, and with faster postoperative recovery using the gasless technique as compared with the open method. We, therefore, recommend this new surgical technique, which hybridizes the advantages of both the traditional open method and pure laparoscopic surgery.

【 授权许可】

   
2013 Lee et al; licensee BioMed Central Ltd.

【 图 表 】

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