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BMC Surgery
Published in: BMC Surgery 1/2017

Open Access 01-12-2017 | Research article

Short-term outcomes of laparoscopic local resection for gastric submucosal tumors: a single-center experience of 266 patients

Authors: Ke Chen, Yu Pan, Shu-ting Zhai, Jun-hai Pan, Wei-hua Yu, Ding-wei Chen, Jia-fei Yan, Xian-fa Wang

Published in: BMC Surgery | Issue 1/2017

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Abstract

Background

Laparoscopic resections for submucosal tumors (SMTs) of the stomach have been developed rapidly over the past decade. Several types of laparoscopic methods for gastric SMTs have been created. We assessed the short-term outcomes of two commonly used types of laparoscopic local resection (LLR) for gastric SMTs and reported our findings.

Methods

We retrospectively analyzed the clinicopathological results of 266 patients with gastric SMTs whom underwent LLR between January 2006 and September 2016. 228 of these underwent laparoscopic exogastric wedge resection (LEWR), the remaining 38 patients with the tumors near the esophagogastric junction (EGJ) or antrum underwent laparoscopic transgastric resection (LTR).

Results

All the patients underwent laparoscopic resections successfully. The mean operation times of LEWR and LTR were 90.2 ± 37.2 min and 101.7 ± 38.5 min respectively. The postoperative length of hospital stays for LEWR and LTR were 5.1 ± 2.1 days and 5.3 ± 1.7 days respectively. There was a low complication rate (4.4%) and zero mortality in our series.

Conclusion

ELWR is technically feasible therapy of gastric SMTs. LTR is secure and effective for gastric intraluminal SMTs located near the EGJ or antrum.
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Metadata
Title
Short-term outcomes of laparoscopic local resection for gastric submucosal tumors: a single-center experience of 266 patients
Authors
Ke Chen
Yu Pan
Shu-ting Zhai
Jun-hai Pan
Wei-hua Yu
Ding-wei Chen
Jia-fei Yan
Xian-fa Wang
Publication date
01-12-2017
Publisher
BioMed Central
Published in
BMC Surgery / Issue 1/2017
Electronic ISSN: 1471-2482
DOI
https://doi.org/10.1186/s12893-017-0231-0

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