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KMID : 1035920190220030106
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Journal of Minimally Invasive Surgery
2019 Volume.22 No. 3 p.106 ~ p.112
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Laparoscopic Treatment of Gastric Subepithelial Tumor: Finding Ways to Manage with Shorter Hospitalization Days
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Lee Sang-Jun
Min Sa-Hong
Park Ki-Bum
Kim Dong-Wook
Lee Yoon-Taek
Park Young-Suk
Ahn Sang-Hoon
Park Do-Joong
Kim Hyung-Ho
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Abstract
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Purpose: The standard treatment for gastric subepithelial tumor (SET) is surgical resection, which isprimarily performed via laparoscopy. The aims of this study were firstly to evaluate factorsinfluencing morbidity and hospitalization after treatment of gastric SET, and secondly, to figure outthe factors how to make shorter hospitalization with equal safety.
Methods: We retrospectively enrolled 229 consecutive patients who underwent laparoscopic gastricwedge resection (LGWR) for gastric SET between August 2003 and December 2015. Patients weredivided into two groups: the 3 days or less hospitalization group (N=82, group A) and the greater than3 days hospitalization group (N=147, group B).
Results: Median tumor size was 3.0 cm (range, 0.2~13.0 cm) and mean postoperative hospitalizationwas 4.27±2.15 days. There were 6 complications (2.6%), with no cases of mortality. In group A,tumors were smaller (3.0±1.1 cm vs. 3.6±1.9 cm, p<0.01) and more likely to be located on the greatercurvature (28% vs. 15%, p<0.01) compared with group B. The tumor growth pattern (exophytic tumor:72% in group A vs. 65% in group B, p=0.25) was not different between the two groups. Multivariateanalysis showed that tumor size larger than 5 cm and posterior wall tumor location were risk factorsfor longer hospital stay.
Conclusion: We could reduce the hospitalization of patients with gastric SET less than 5 cm sized andlocated on other than the posterior wall within 3 days. Those patients could be a candidate for daysurgery.
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KEYWORD
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Laparoscopy, Gastrectomy, Day surgery, Subepithelial
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