دورية أكاديمية
Unusual presentations, management and outcomes of gastric stromal tumors: a single-center case series.
| العنوان: | Unusual presentations, management and outcomes of gastric stromal tumors: a single-center case series. |
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| المؤلفون: | Askari A; Department of General Surgery, West Hertfordshire Hospitals NHS Trust, Vicarage Road, Watford (Alan Askari, Rory Brittain, Wasim Hajuthman, Ahmed Al-Bahrani)., Brittain R; Department of General Surgery, West Hertfordshire Hospitals NHS Trust, Vicarage Road, Watford (Alan Askari, Rory Brittain, Wasim Hajuthman, Ahmed Al-Bahrani)., Hilmi M; General Practitioner, Lodge Surgery, St Albans (Marwa Hilmi), United Kingdom., Hajuthman W; Department of General Surgery, West Hertfordshire Hospitals NHS Trust, Vicarage Road, Watford (Alan Askari, Rory Brittain, Wasim Hajuthman, Ahmed Al-Bahrani)., Al-Bahrani A; Department of General Surgery, West Hertfordshire Hospitals NHS Trust, Vicarage Road, Watford (Alan Askari, Rory Brittain, Wasim Hajuthman, Ahmed Al-Bahrani). |
| المصدر: | Annals of gastroenterology [Ann Gastroenterol] 2021; Vol. 34 (1), pp. 26-32. Date of Electronic Publication: 2020 Oct 02. |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: The Society Country of Publication: Greece NLM ID: 101121847 Publication Model: Print-Electronic Cited Medium: Print ISSN: 1108-7471 (Print) Linking ISSN: 11087471 NLM ISO Abbreviation: Ann Gastroenterol Subsets: PubMed not MEDLINE |
| أسماء مطبوعة: | Original Publication: Athens, Greece : The Society, [2000- |
| مستخلص: | Background: Gastrointestinal stromal tumors (GISTs) are uncommon mesenchymal tumors of the gastrointestinal tract. This study explores the safety of laparoscopy and the long-term oncological outcome in gastroesophageal GIST treatment. Methods: A prospectively maintained single-institution database was examined. The variables collected were patient demographics and comorbidities, surgical access (laparoscopic/open), type of surgery, length of stay, and complications. Results: A total of 69 patients underwent GIST resection between January 2011 and June 2018, of whom 56.5% were male; the median age was 68 years (interquartile range 60-76). The majority of patients (78.3%, n=54/69) had a laparoscopic resection. Median length of stay was 6 days in the laparoscopic group and 9 days in the open group (P=0.003). Most patients had wedge excision (n=57/69, 82.6%), while 12 patients (17.4%) required a gastrectomy (one a Merendino type). All patients had an R0 resection and 1 patient (1.4%) had a recurrence, despite having a low-risk grade original tumor with negative margins. Patients in the open group had a significantly higher proportion of patients with a high-risk tumor (50%) compared to the laparoscopic group (3.7%, P=0.001). The mean survival was 92.7 months (95% confidence interval 86.3-99.2). Survival was better in the laparoscopic group (100.4 months) compared with the open group (55.1 months, P<0.001). Conclusion: Laparoscopic gastric GIST resection is an oncologically safe alternative to open surgery and is associated with a shorter hospital stay with no difference in complication rates or recurrence rates. Competing Interests: Conflict of Interest: None (Copyright: © 2021 Hellenic Society of Gastroenterology.) |
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| فهرسة مساهمة: | Keywords: Gastrointestinal stromal tumors; laparoscopy; outcomes; surgery |
| تواريخ الأحداث: | Date Created: 20210108 Latest Revision: 20220419 |
| رمز التحديث: | 20240829 |
| مُعرف محوري في PubMed: | PMC7774666 |
| DOI: | 10.20524/aog.2020.0540 |
| PMID: | 33414618 |
| قاعدة البيانات: | MEDLINE |
| تدمد: | 1108-7471 |
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| DOI: | 10.20524/aog.2020.0540 |