Long term survival results for gastric GIST: is laparoscopic surgery for large gastric GIST feasible?

World Journal of Surgical Oncology

Hyuk-Chan Kwon¹  Jin-Seok Jang¹  Su-Jin Kim³  Ghap-Joong Jung²  Min-Chan Kim²  Ki-Han Kim² 

[1] Departments of Internal medicine, Dong-A University College of Medicine, Busan, Korea;Departments of Surgery, Dong-A University College of Medicine, 3-1 Dongdaeshin-Dong, Seo-Gu, Busan, 602-715, Korea;Departments of Pathology, Dong-A University College of Medicine, Busan, Korea

关键词: Survival;    Laparoscopy;    GIST;    Stomach;   

Others  :  827009
DOI  :  10.1186/1477-7819-10-230

 received in 2012-06-23, accepted in 2012-09-26,  发布年份 2012

【 摘 要 】

Background

Recently, laparoscopic resection for relatively small sized gastric gastrointestinal stromal tumors (GISTs) has been widely accepted as minimally invasive surgery. However, no report on the long-term safety and efficacy of this surgery for large sized gastric GISTs has been published to date.

Methods

Between July 1998 and January 2011, 104 consecutive patients who underwent resection for gastric GISTs were enrolled in this retrospective study. We assessed the clinicopathological characteristics, postoperative outcomes, patient survival, and tumor recurrence.

Results

Of the 104 patients with gastric GISTs who were included in the study, there were 47 males and 57 females whose mean age was 59.8 years. Sixty-four patients (61.5%) had symptoms associated with tumor. Ten patients included in the group 1, 49 in the group 2, 15 in the group 3a, 9 inthe group 5, 14 in the group 6a, and 7 in the group 6b. There was one minor complication and no mortalities. Recurrence was noted in 5 patients, with a median follow-up period of 49.3 months (range, 8.4 to 164.4). The 5-year overall and disease free survival rates of 104 patients were 98.6% and 94.8%, respectively. When comparing large tumor (5–10 cm) between laparoscopic and open surgery, there were statistically differences in age, tumor size, tumor location, and length of hospitalization. There were no statistical differences in the 5-year survival rate between laparoscopic and open surgery for large tumor (5-10cm).

Conclusion

Laparoscopic surgery is feasible and effective as an oncologic treatment of gastric GISTs. Moreover, laparoscopic surgery can be an acceptable alternative to open methods for gastric GISTs of size bigger than 5 cm.

【 授权许可】

   
2012 Kim et al.; licensee BioMed Central Ltd.

【 图 表 】

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