Surgical strategy for the gastric gastrointestinal stromal tumors (GISTs) larger than 5 cm: Laparoscopic surgery is feasible, safe, and oncologically acceptable

Tsuyoshi Takahashi, Kiyokazu Nakajima, Yasuaki Miyazaki, Yasuhiro Miyazaki, Yukinori Kurokawa, Makoto Yamasaki, Hiroshi Miyata, Shuji Takiguchi, Toshirou Nishida, Masaki Mori, Yuichiro Doki

Research output: Contribution to journalArticlepeer-review

12 Citations (Scopus)

Abstract

Background: The efficacy and feasibility of laparoscopic surgery (LAP) for gastric GISTs >5cm has not been adequately assessed. Here we investigated the clinical outcomes of these patients. Patients and Methods: Twenty-seven consecutive patients who underwent resection for gastric GISTs >5cm were enrolled in this retrospective study. We assessed the tumor characteristics, surgical outcomes, tumor recurrence, and patient survival in the open surgery (OPEN) group and in the LAP group. Results: The tumor size in the OPEN group was larger than that in the LAP group, but there were no differences in the mitotic count. There were no differences in operative complications. Finally, there were no differences in the disease-free and no patients in the LAP group died. Conclusions: In patients with gastric GISTs >5cm, LAP can be performed with outcomes equivalent to those of OPEN if patient selection and intraoperative judgment are appropriate.

Original languageEnglish
Pages (from-to)114-118
Number of pages5
JournalSurgical Laparoscopy, Endoscopy and Percutaneous Techniques
Volume25
Issue number2
DOIs
Publication statusPublished - Apr 17 2015
Externally publishedYes

All Science Journal Classification (ASJC) codes

  • Surgery

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