Clinical Comparison on Laparoscopic-Endoscopic Cooperative Surgery and Open Resection for Gastric Stromal Tumor_CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Authors：

 MABao-qing , XUEJian , SUYing-feng

Department of General Surgery, Dezhou People's Hospital of Shandong Province, Dezhou 253014, Shandong Province, China;

Corresponding?author：

MABao-qing, Email: mabaoqing456@163.com

Keywords：

Laparoscope; Gastroscope; Gasric stromal tumor; Gastrectomy; Open surgery

DOI：

10.7507/1007-9424.20160115

Video：

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Objective To compare the results of laparoscopic-endoscopic cooperative resection and open surgery for gasric stromal tumor. Methods From January 2010 to March 2015, the clinical data of 56 cases undergoing laparoscopic resection for gasric stromal tumor and 53 cases of traditional operation selected during the same period were retrospectively compared. Results There was no significant difference between two groups in patient's gender, age, body weight, size of tumor, tumor staging, method of operation, intraoperative conditions, postoperative overall complications, local recurrence, and distant metastasis. There were 1 case with the rupture of tumor and 1 case of open surgery transforming in laparoscopic group. In another group, there was the absence of the rupture of tumors. There was no mortality, stomach bleeding, stenosis or leakage occurred between two groups. In laparoscopic group, there were less operative blood loss and abdominal drainage, shorter time of postoperative anal exhaust time, fewer anodyne, a reduction of hospital stay than in convention operation group.However, laparoscopic resection required greater hospital costs and longer operative time. There were significant differences between two groups (P < 0.05). Conciusions With advantages of less blood loss and quicker recovery as compared to conventional operation. Laparoscopic-endoscopic cooperative resection for gasric stromal tumor has similar effect when it is performed by well selection of cases, skilled surgeon with experience on open resection for surgical treatment of gastric stromal tumor.

Citation： MABao-qing, XUEJian, SUYing-feng. Clinical Comparison on Laparoscopic-Endoscopic Cooperative Surgery and Open Resection for Gastric Stromal Tumor. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2016, 23(4): 434-438. doi: 10.7507/1007-9424.20160115 Copy

1.	Lukaszczyk JJ, Preletz RJ. Laparoscopic resection of benign stromal tumor of the stomach. Laparoendosc Surg, 1992, 2(6): 331-334.
2.	梁寒.胃腸道間質瘤的手術治療.中華消化外科雜志, 2013, 12(4) : 249-252.
3.	Kukar M, Kapil A, Papenfuss W, et al. Gastrointestinal stromal tumors (GISTs) at uncommon locations: a lange population based analysis. J Surg Oncol, 2015, 111(6): 696-701.
4.	Ehab EI-Hanafy, Mohamed EI-Hemaly, Emad Hamdy, et al. Surgical management of gastric gastrointestinal stromal tumor: a single center experience. Saudi J Gastroenterol, 2011, 17(3): 189-193.
5.	楊弘鑫, 陳秀峰, 張波, 等. 217例胃間質瘤的臨床特點與診治.中國普外基礎與臨床雜志, 2012, 19(9): 951-956.
6.	Adela Avila S, Pealoza J, González F, et al. Dysphagia, melanosis, gastrointestinal stromal tumors and a germinal mutation of the KIT gene in an Argentine family. Acta Gastroenterol Latinoam, 2014, 44(1): 9-15.
7.	楊顯金, 陳佳慧, 杜江, 等.胃腸道間質瘤的診治現狀與進展.中國普外基礎與臨床雜志, 2014, 21(8): 1040-1045.
8.	Coh BK, Chow PK, Chok AY, et al. Impact of the introduction of laparoscopic wedge resection as a surgical option for suspected small medium-sized gastrointestinal stromal tumors of the stomach on perioperative and oncologic outcomes. World J Surg, 2010, 34(8): 1847-1852.
9.	Blanke CD, Rankin C, Demetri GD, et al. PhaseⅢrandomized intergroup trial assessing imatinib mesylate at two dose levels in patients with unresectable or metastatic gastrointestinal stromal tumors expressing the kit receptor tyrosine kinase: S0033. J Clin Oncol, 2008, 26(4): 626-632.
10.	Kasetsermwiriya W, Nagai E, Nakata K, et al. Laparoscopic surgery for gastric gastrointestinal stromal tumor is feasible irrespective of tumor size. Laparoendosc Adv Surg Tech A, 2014, 24(3: 123-129.
11.	Melstrom LG, Phillips JD, Bentrem DJ, et al. Laparoscopic versus open resection of gastric gastrointestinal stromal tumors. Am J Clin Oncol, 2012, 35(5): 451-454.
12.	Tsjimoto H, Yaguchi Y, Kumano I, et al. Successful gastric submu-cosal tumor resection using laparoscopic and endoscopic coopera-tive surgery. World J Surg, 2012, 36(2): 327-330.
13.	姚京, 譚向龍, 戎世捧, 等.腹腔鏡聯合胃鏡治療胃間質瘤45例.中國普外基礎與臨床雜志, 2013, 20(5): 525-528.
14.	Hiki N, Nunobe S, Matsuda T, et al. Laparoscopic endoscopic cooperative surgery. Dig Endosc, 2015, 27(2): 197-204.
15.	丁衛星.雙鏡聯合技術在胃腫瘤治療中的應用價值.中華胃腸外科雜志, 2010, 13(5): 322-323.
16.	Demetri GD, von Mehren M, Antonescu CR, et al. NCCN Task Force report: update on the management of patients with gastro-intestinal stromal tumors. J Natl Compr Canc Netw, 2010, 8(Suppl 2): 1-41.
17.	李進權, 虞黎明, 賴斌, 等.腹腔鏡手術與開腹手術治療胃腸間質瘤對比Meta分析.中國實用外科雜志, 2015, 35(5): 541-545.
18.	Karakousis GC, Singer S, Zheng J, et al. Laparoscopic versus open gastric resections for primary gastrointestinal stromal tumors (GISTs): a size-matched comparison. Ann Surg Oncol, 2011, 18(6): 1599-1605.
19.	Qiu WQ, Zhuang J, Wang M, et al. Minimally invasive treatment of laparoscopic and endoscopic cooperative surgery for patients with gastric gastrointestinal stromal tumors. J Dig Dis, 2013, 14(9): 469-473.
20.	戴鵬, 陳智, 徐鈞.胃間質瘤腹腔鏡切除與開放手術療效對比研究.中華普通外科學文獻:電子版, 2014, 8(5) : 390-394.
21.	胡凱, 王明亮, 馮波, 等.腹腔鏡聯合胃鏡與開腹手術治療胃間質瘤的臨床研究.外科理論與實踐, 2014, 19(1): 35-39.
22.	中華醫學會外科學分會胃腸外科學組.胃腸間質瘤規范化外科治療專家共識.中國實用外科雜志, 2015, 35(6): 593-598.
23.	蔣明, 崔海寧.胃鏡定位聯合腹腔鏡治療胃間質瘤的有效性及安全性評估.中國內鏡雜志, 2014, 20(8): 843-846.
24.	Burkill GJ, Badran M, Al-Muderis O, et al. Malignant gastrointes-tinal stromal tumor: distribution, distribution imagine features, and pattern of metastatic spread. Radiology, 2009, 226(2): 527-532.
25.	徐關根, 駱泉.胃鏡腹腔鏡聯合治療胃間質瘤19例.中國中西醫結合外科雜志, 2014, 20(4): 410-412.

1. Lukaszczyk JJ, Preletz RJ. Laparoscopic resection of benign stromal tumor of the stomach. Laparoendosc Surg, 1992, 2(6): 331-334.
2. 梁寒.胃腸道間質瘤的手術治療.中華消化外科雜志, 2013, 12(4) : 249-252.
3. Kukar M, Kapil A, Papenfuss W, et al. Gastrointestinal stromal tumors (GISTs) at uncommon locations: a lange population based analysis. J Surg Oncol, 2015, 111(6): 696-701.
4. Ehab EI-Hanafy, Mohamed EI-Hemaly, Emad Hamdy, et al. Surgical management of gastric gastrointestinal stromal tumor: a single center experience. Saudi J Gastroenterol, 2011, 17(3): 189-193.
5. 楊弘鑫, 陳秀峰, 張波, 等. 217例胃間質瘤的臨床特點與診治.中國普外基礎與臨床雜志, 2012, 19(9): 951-956.
6. Adela Avila S, Pealoza J, González F, et al. Dysphagia, melanosis, gastrointestinal stromal tumors and a germinal mutation of the KIT gene in an Argentine family. Acta Gastroenterol Latinoam, 2014, 44(1): 9-15.
7. 楊顯金, 陳佳慧, 杜江, 等.胃腸道間質瘤的診治現狀與進展.中國普外基礎與臨床雜志, 2014, 21(8): 1040-1045.
8. Coh BK, Chow PK, Chok AY, et al. Impact of the introduction of laparoscopic wedge resection as a surgical option for suspected small medium-sized gastrointestinal stromal tumors of the stomach on perioperative and oncologic outcomes. World J Surg, 2010, 34(8): 1847-1852.
9. Blanke CD, Rankin C, Demetri GD, et al. PhaseⅢrandomized intergroup trial assessing imatinib mesylate at two dose levels in patients with unresectable or metastatic gastrointestinal stromal tumors expressing the kit receptor tyrosine kinase: S0033. J Clin Oncol, 2008, 26(4): 626-632.
10. Kasetsermwiriya W, Nagai E, Nakata K, et al. Laparoscopic surgery for gastric gastrointestinal stromal tumor is feasible irrespective of tumor size. Laparoendosc Adv Surg Tech A, 2014, 24(3: 123-129.
11. Melstrom LG, Phillips JD, Bentrem DJ, et al. Laparoscopic versus open resection of gastric gastrointestinal stromal tumors. Am J Clin Oncol, 2012, 35(5): 451-454.
12. Tsjimoto H, Yaguchi Y, Kumano I, et al. Successful gastric submu-cosal tumor resection using laparoscopic and endoscopic coopera-tive surgery. World J Surg, 2012, 36(2): 327-330.
13. 姚京, 譚向龍, 戎世捧, 等.腹腔鏡聯合胃鏡治療胃間質瘤45例.中國普外基礎與臨床雜志, 2013, 20(5): 525-528.
14. Hiki N, Nunobe S, Matsuda T, et al. Laparoscopic endoscopic cooperative surgery. Dig Endosc, 2015, 27(2): 197-204.
15. 丁衛星.雙鏡聯合技術在胃腫瘤治療中的應用價值.中華胃腸外科雜志, 2010, 13(5): 322-323.
16. Demetri GD, von Mehren M, Antonescu CR, et al. NCCN Task Force report: update on the management of patients with gastro-intestinal stromal tumors. J Natl Compr Canc Netw, 2010, 8(Suppl 2): 1-41.
17. 李進權, 虞黎明, 賴斌, 等.腹腔鏡手術與開腹手術治療胃腸間質瘤對比Meta分析.中國實用外科雜志, 2015, 35(5): 541-545.
18. Karakousis GC, Singer S, Zheng J, et al. Laparoscopic versus open gastric resections for primary gastrointestinal stromal tumors (GISTs): a size-matched comparison. Ann Surg Oncol, 2011, 18(6): 1599-1605.
19. Qiu WQ, Zhuang J, Wang M, et al. Minimally invasive treatment of laparoscopic and endoscopic cooperative surgery for patients with gastric gastrointestinal stromal tumors. J Dig Dis, 2013, 14(9): 469-473.
20. 戴鵬, 陳智, 徐鈞.胃間質瘤腹腔鏡切除與開放手術療效對比研究.中華普通外科學文獻:電子版, 2014, 8(5) : 390-394.
21. 胡凱, 王明亮, 馮波, 等.腹腔鏡聯合胃鏡與開腹手術治療胃間質瘤的臨床研究.外科理論與實踐, 2014, 19(1): 35-39.
22. 中華醫學會外科學分會胃腸外科學組.胃腸間質瘤規范化外科治療專家共識.中國實用外科雜志, 2015, 35(6): 593-598.
23. 蔣明, 崔海寧.胃鏡定位聯合腹腔鏡治療胃間質瘤的有效性及安全性評估.中國內鏡雜志, 2014, 20(8): 843-846.
24. Burkill GJ, Badran M, Al-Muderis O, et al. Malignant gastrointes-tinal stromal tumor: distribution, distribution imagine features, and pattern of metastatic spread. Radiology, 2009, 226(2): 527-532.
25. 徐關根, 駱泉.胃鏡腹腔鏡聯合治療胃間質瘤19例.中國中西醫結合外科雜志, 2014, 20(4): 410-412.

CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Clinical Comparison on Laparoscopic-Endoscopic Cooperative Surgery and Open Resection for Gastric Stromal Tumor

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