title: [Extraluminal laparoscopic wedge resection for gastric stromal tumors].
abstract: OBJECTIVE
  To explore the feasibility and safety of extraluminal laparoscopic wedge resection(ELWR) surgery for gastrointestinal stromal tumors (GIST) in the stomach.
  
  
  METHODS
  The clinical data of 31 patients with gastric GIST undergoing ELWR from July 2007 to June 2011 were analyzed retrospectively.
  
  
  RESULTS
  There were 19 males and 12 females with a mean age of 65.5 years old. Locations of the tumor included fundus of the stomach (n=22) and anterior wall (n=9). The mean diameter was (3.3±1.5) cm (range 1.5 to 5 cm). All the procedures were performed successfully without conversion to open operation. The mean operative time of ELWR was (54.1±6.2) min (range 45 to 65 min), the mean intraoperative blood loss was (35.2±10.5) ml (range 15 to 55 ml), the mean recovery time was (1.5±0.2) d (range 3 to 6 d) and the mean postoperative hospital stay was (4.5±1.0) d. No patient experienced complications postoperatively. The entire cohort were followed up for 4 to 48 months (mean 18.8 months) and no recurrence or metastasis was found.
  
  
  CONCLUSIONS
  ELWR for gastric GIST is technically feasible and safe.
authors.affiliation: Department of Gastric Surgery, Union Hospital, Fujian Medical University, Fuzhou 350001, China.
authors.forename: Jian-wei
authors.initials: JW
authors.lastname: Xie
authors.forename: Chang-ming
authors.initials: CM
authors.lastname: Huang
authors.forename: Chao-hui
authors.initials: CH
authors.lastname: Zheng
authors.forename: Ping
authors.initials: P
authors.lastname: Li
authors.forename: Jia-bin
authors.initials: JB
authors.lastname: Wang
authors.forename: Jian-xian
authors.initials: JX
authors.lastname: Lin
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D005743:Gastrectomy / Q000379:methods*; D046152:Gastrointestinal Stromal Tumors / Q000601:surgery*; D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D013274:Stomach Neoplasms / Q000601:surgery*; D016896:Treatment Outcome