Laparoscopic wedge resection of benign gastric tumor.
OBJECTIVE
In the past 2 years, 9 patients diagnosed as benign gastric tumor pre-operatively underwent laparoscopic wedge resection of stomach at National Taiwan University Hospital. Among them, 6 were females and 3 were males.


METHODS
Histopathologically, 7 of 9 cases were of gastrointestinal stromal tumor (GIST). The clinical characteristics of this group were retrospectively reviewed and compared with another 12 cases of benign gastric tumor receiving open wedge resection in the same period.


RESULTS
There were no differences in sex, age, and pre-operative diagnosis in these two groups. It took a significantly longer operation time in the laparoscopic group than it did in the open group (205.71 vs. 97.5 min, p<0.05). However, the patients of the laparoscopic group started post-operative oral intake earlier (4.0 vs. 5.58 days, p<0.05), had shorter hospital stays (6.67 vs. 10.77 days, p<0.05), and lower analgesic usage rate (55% vs. 100%). There were no differences in operative complication rates.


CONCLUSIONS
Laparoscopic resection of benign-gastric tumor is recommended as a minimally invasive procedure.
Cheng
H L
HL
Department of Surgery, National Taiwan University Hospital, Taipei.
Lee
W J
WJ
Lai
I R
IR
Yuan
R H
RH
Yu
S C
SC
D000328:Adult; D000368:Aged; D005260:Female; D005743:Gastrectomy; D006801:Humans; D010535:Laparoscopy; D007902:Length of Stay; D008297:Male; D008875:Middle Aged; D019060:Minimally Invasive Surgical Procedures; D011230:Precancerous Conditions / Q000473:pathology / Q000601:surgery*; D013270:Stomach / Q000473:pathology; D013274:Stomach Neoplasms / Q000473:pathology / Q000601:surgery*; D017154:Stromal Cells / Q000473:pathology; D016896:Treatment Outcome