title: A gasless laparoscopic technique of wide excision for gastric gastrointestinal stromal tumor versus open method.
abstract: BACKGROUND
  Traditional open surgery for gastrointestinal stromal tumors (GIST) requires a long incision. Moreover, the gas-filling laparoscopic technique used in GIST surgery still has its limitations. Therefore, we developed a gasless laparoscopic (GL) surgery for GIST and compared it with traditional open surgery.
  
  
  METHODS
  Between October 2007 and September 2009, 62 GIST patients in the National Taiwan University Hospital received wide excisions. Of these 62 patients, 30 underwent the new procedure (GL group) and 32 had open surgery (OS group). Preoperative and postoperative clinicopathologic characteristics were compared between the groups.
  
  
  RESULTS
  There were no significant differences in preoperative characteristics or blood loss. However, the days to first flatus, postoperative hospital stay, wound length, white blood cell count at postoperative day one, and peak daily body temperature were all significantly improved in the GL group. Usage of postoperative analgesia on postoperative days one to five was also significantly lower in the GL group.
  
  
  CONCLUSIONS
  Wide-excision laparoscopy for gastric GIST can be performed more safely, more effectively, and with faster postoperative recovery using the gasless technique as compared with the open method. We, therefore, recommend this new surgical technique, which hybridizes the advantages of both the traditional open method and pure laparoscopic surgery.
authors: Department of General Surgery, National Taiwan University Hospital, No,7 Chung-Shan South Road, Taipei 100, Taiwan.
authors: Po-Chu
authors: PC
authors: Lee
authors: Peng-Sheng
authors: PS
authors: Lai
authors: Ching-Yao
authors: CY
authors: Yang
authors: Chiung-Nien
authors: CN
authors: Chen
authors: I-Rue
authors: IR
authors: Lai
authors: Ming-Tsan
authors: MT
authors: Lin
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D005240:Feasibility Studies; D005260:Female; D005500:Follow-Up Studies; D046152:Gastrointestinal Stromal Tumors / Q000473:pathology / Q000601:surgery*; D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D007902:Length of Stay; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications; D011379:Prognosis; D012189:Retrospective Studies; D013624:Taiwan; D055815:Young Adult