Authors :
Syed haris; Iqbal saleem; Abdul hamid; Arshad Rashid; Rifat Ara; Ruqaya Akhther; Neha Sharma.
Volume/Issue :
Volume 7 - 2022, Issue 8 - August
Google Scholar :
https://bit.ly/3IIfn9N
Scribd :
https://bit.ly/3LbV8nO
DOI :
https://doi.org/10.5281/zenodo.7067737
Abstract :
Various aspects of the feasibility of
laparoscopic resection of gastrointestinal stromal tumors
(GIST’s) is being debated. In this paper problems of
minimally invasive resection of gastric GIST is being
described and compares this experience with an extensive
literature review. Study design: In a prospective study
between Jan 2012 to Aug 2022,49 consecutive patients
undergoing laparoscopic resection of gastric GIST were
enrolled. On PubMed literature review of laparoscopic
treatment was performed. Using chi square test and t
student evaluation statistical analysis was done. Results:
49 patients, mean age 50yrs , were submitted to
laparoscopic wedge-segmental gastric resections. Mean
tumor size was 4cm .4 days was mean hospital stay .150
min was mean operative time.100 ml was mean blood
loss. No operative complications or mortalities were
reported. Negative resection margins were reported in all
lesions. All patients were disease free at a mean follow up
of 35 months , disease free without long term morbidity
related to gastric resection. Length of stay, morbidity,
mortality, and oncological outcomes were comparable to
open surgery retrospective evaluation.
Conclusions: Laparoscopic resection is safe and effective
in treating gastric GISTS as found in literature review.
Minimally invasive approach should be the preferred
surgical treatment in patients with small and medium
sized gastric GIST’S, given these findings as well as the
advantages afforded by laparoscopic surgery
Keywords :
GIST. Surgery. Laparoscopy
Various aspects of the feasibility of
laparoscopic resection of gastrointestinal stromal tumors
(GIST’s) is being debated. In this paper problems of
minimally invasive resection of gastric GIST is being
described and compares this experience with an extensive
literature review. Study design: In a prospective study
between Jan 2012 to Aug 2022,49 consecutive patients
undergoing laparoscopic resection of gastric GIST were
enrolled. On PubMed literature review of laparoscopic
treatment was performed. Using chi square test and t
student evaluation statistical analysis was done. Results:
49 patients, mean age 50yrs , were submitted to
laparoscopic wedge-segmental gastric resections. Mean
tumor size was 4cm .4 days was mean hospital stay .150
min was mean operative time.100 ml was mean blood
loss. No operative complications or mortalities were
reported. Negative resection margins were reported in all
lesions. All patients were disease free at a mean follow up
of 35 months , disease free without long term morbidity
related to gastric resection. Length of stay, morbidity,
mortality, and oncological outcomes were comparable to
open surgery retrospective evaluation.
Conclusions: Laparoscopic resection is safe and effective
in treating gastric GISTS as found in literature review.
Minimally invasive approach should be the preferred
surgical treatment in patients with small and medium
sized gastric GIST’S, given these findings as well as the
advantages afforded by laparoscopic surgery
Keywords :
GIST. Surgery. Laparoscopy