[Laparoscopic surgery for gastric and small intestinal stromal tumors].
OBJECTIVE
To evaluate laparoscopic surgery for gastric and small intestinal stromal tumors.


METHODS
The clinical data of patients with laparoscopic resection of gastric and small intestinal tumors, admitted to our center from Dec. 2003 to Jul. 2006, were retrospectively analyzed. The data included the surgical procedure, operative time, blood loss, length of incision, time for passage of flatus, postoperative length of stay, operative complications, pathology and the results of follow-up.


RESULTS
All the 33 patients with gastric and small intestinal stromal tumors were treated by laparoscopic procedures successfully, including 8 laparoscopic gastric wedge resections, 8 laparoscopic transgastric tumor-everting resections, and 17 laparoscopic segmental resections of small intestine. The mean operative time was (73.1+/-27.0) min, the mean blood loss was (19.8+/-14.0) ml, the mean length of incision was (3.3+/-1.1) cm, the mean time for passage of flatus was (2.2+/-1.0) d and the postoperative length of stay was (8.1+/-2.0) d. The bleeding of intestinal anastomosis and gastric mucosa occurred on 3 patients (9.1%), who were healed with conservative therapy. No recurrence was found during 2-33 months follow-up.


CONCLUSIONS
Laparoscopic surgery is an effective, safe, less invasive procedure for treatment of gastric and small intestinal stromal tumors.
Hu
Wei-Guo
WG
Department of Surgery, Ruijin Hospital, School of Medicine, Shanghai Jiaotong University, Shanghai Minimal Invasive Surgery Center, Shanghai 200025, China.
Ma
Jun-Jun
JJ
Lu
Ai-Guo
AG
Wang
Ming-Liang
ML
Li
Jian-Wen
JW
Zang
Lu
L
Dong
Feng
F
Zheng
Min-Hua
MH
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D005500:Follow-Up Studies; D046152:Gastrointestinal Stromal Tumors / Q000601:surgery*; D006801:Humans; D007421:Intestine, Small; D010535:Laparoscopy / Q000379:methods; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D055815:Young Adult