PMID: 26343877Sep 8, 2015Paper

Twelve years of gastric GIST A retrospective study of laparoscopic and open approach

Annali italiani di chirurgia
Federico SistaGianfranco Amicucci

Abstract

The authors wanted to evaluate the outcome of laparoscopic and open resection for gastric GISTs, in the long and short run with a retrospective study based on 63 consecutive patients. Two surgical groups were compared according to age, sex, ASA group and Surgical procedure: a laparoscopic resection was performed on 30 patients (47,7%) while the open approach was preferred for 33 patients (52,3%). Duration of surgery, blood loss, positive resection margins, postoperative morbidity, postoperative ileus, hospital stay, tumor's mean dimensions, degree of malignancy and recurrences rate and 5-years mortality were compared in subgroups. Significant differences between Open Gastrectomy group and Laparoscopic Gastrectomy group were found in blood loss 425 ml (180-610) vs 137 ml (110-320), postoperative ileus 4,1D (3-6) vs 2,3D (1-7), hospital stay 15D (8-25) vs 10D (8-17), neoplasia mean dimensions in patients who underwent total gastrectomy ( 7,1±0,9 cm vs 5,3±0,5 cm) and atypical gastrectomy (4,3±0,8 cm vs 2,2±0,3 cm), high degree of malignancy in patients who underwent subtotal gastrectomy (4 vs 0 pz) and 5-years mortality in patients who underwent total gastrectomy (36.6% vs 12.5%). Poor blood loss, shorter postoperative ileus and ...Continue Reading

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