Hand-assisted laparoscopic resection versus total laparoscopic gastric surgery for primary gastric gastrointestinal stromal tumors (GISTs): an analysis from a high-volume institution

BMC Surgery

Yong-Qiang Qiu¹  Li-Ying Zhong²  Zhong-Liang Ning³  Zhong Wei³  Ya-Jun Zhao³  Lv-Ping Zhuang⁴  Wen-Ze Zheng⁵ 

[1] Department of Anesthesiology, The First Affiliated Hospital of Fujian Medical University;Department of Clinical Medicine, Xiamen Medical College;Department of Gastrointestinal Surgery, The First Affiliated Hospital of University of Science and Technology of China, Division of Life Sciences and Medicine, University of Science and Technology of China;Department of Neurology, Fujian Medical University Union Hospital;The Graduate School of Fujian Medical University, Fujian Medical University;

关键词: Gastric GIST;    Hand-assisted laparoscopic surgery;    Total laparoscopic surgery;    Surgical outcome;   

DOI  :  10.1186/s12893-022-01668-y

来源: DOAJ

【 摘 要 】

Abstract Background Laparoscopic resection of gastric gastrointestinal stromal tumors (GISTs) is technically feasible and associated with favorable outcomes. We compared the clinical efficacy of hand-assisted laparoscopic surgery (HLS) and total laparoscopic surgery (TLS) for gastric GISTs. Methods We retrospectively analyzed the clinical data of 69 consecutive patients diagnosed with a gastric GIST in a tertiary referral teaching hospital from December 2016 to December 2020. Surgical outcomes were compared between two groups. Results Fifty-three patients (TLS group: n = 36; HLS group: n = 17) were included. The mean age was 56.9 and 58.1 years in the TLS and HLS groups, respectively. The maximum tumor margin was significantly shorter in the HLS group than in the TLS group (2.3 ± 0.9. vs. 3.0 ± 0.8 cm; P = 0.004). The operative time of the HLS group was significantly shorter than that of the TLS group (70.6 ± 19.1 min vs. 134.4 ± 53.7 min; P < 0.001). The HLS group had less intraoperative blood loss, a shorter time to first flatus, and a shorter time to fluid diet than the TLS group (P < 0.05). No significant difference was found between the groups in the incidence or severity of complications within 30 days after surgery. Recurrence or metastasis occurred in four cases (HLS group; n = 1; TLS group; n = 3). Conclusions This study demonstrated that compared with TLS, HLS for gastric GISTs has the advantages of simpler operation, shorter operative time, and faster postoperative recovery.

【 授权许可】

Unknown