New-style laparoscopic and endoscopic cooperative surgery for gastric stromal tumors.

Abstract

AIM:

To evaluate the feasibility and safety of a new style of laparoscopic and endoscopic cooperative surgery (LECS), an improved method of laparoscopic intragastric surgery (LIGS) for the treatment of gastric stromal tumors (GSTs).

METHODS:

Six patients were treated with the new-style LECS. Surgery was performed according to the following procedures: (1) Exposing and confirming the location of the tumor with gastroscopy; (2) A laparoscopy light was placed in the cavity using the trocar at the navel, and the other two trocars penetrated both the abdominal and stomach walls; (3) With gastroscopy monitoring, the operation was carried out in the gastric lumen using laparoscopic instruments and the tumor was resected; and (4) The tumor tissue was removed orally using a gastroscopy basket, and puncture holes and perforations were sutured using titanium clips.

RESULTS:

Tumor size ranged from 2.0 to 4.5 cm (average 3.50 ± 0.84 cm). The operative time ranged from 60 to 130 min (average 83.33 ± 26.58 min). Blood loss was less than 20 mL and hospital stay ranged from 6 to 8 d (average 6.67 ± 0.82 d). The patients were allowed out of bed 12 h later. A stomach tube was inserted for 72 h after surgery, and a liquid diet was then taken. All cases had single tumors which were completely resected using the new-style LECS. No postoperative complications occurred. Pathology of all resected specimens showed GST: no cases of implantation or metastasis were found.

CONCLUSION:

New-style LECS for GSTs is a quick, optimized, fast recovery, safe and effective therapy.

• Authors: Hai-Yan Dong, Yu-Long Wang, Jie Li, Qiu-Ping Pang, Guo-Dong Li, Xin-Yong Jia
• Journal: World journal of gastroenterology (World J Gastroenterol) Vol. 19 Issue 16 Pg. 2550-4 (Apr 28 2013) ISSN: 2219-2840 [Electronic] United States
• PMID: 23674858 (Publication Type: Evaluation Study, Journal Article)

Topics

• Adult
• Blood Loss, Surgical
• Enteral Nutrition
• Feasibility Studies
• Female
• Gastrectomy (adverse effects, methods)
• Gastrointestinal Stromal Tumors (pathology, surgery)
• Gastroscopy (adverse effects)
• Humans
• Laparoscopy (adverse effects)
• Length of Stay
• Male
• Middle Aged
• Stomach Neoplasms (pathology, surgery)
• Suture Techniques
• Time Factors
• Treatment Outcome
• Tumor Burden