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KMID : 0371420140870060304
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Annals of Surgical Treatment and Research
2014 Volume.87 No. 6 p.304 ~ p.310
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Single-incision intragastric resection for upper and mid gastric submucosal tumors: a case-series study
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Choi Chang-In
Lee Si-Hak
Hwang Sun-Hwi
Kim Dae-Hwan
Jeon Tae-Yong
Kim Dong-Heon
Kim Gwang-Ha
Park Do-Youn
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Abstract
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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 single-incision 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.
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KEYWORD
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Laparoscopy, Stomach neoplasm, Gastric mucosa, Gastrectomy, Gastrointestinal stromal tumors
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