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Safety of laparoscopic local resection for gastrointestinal stromal tumors near the esophagogastric junction

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Abstract

Purpose

Laparoscopic local resection for gastrointestinal stromal tumors (GISTs) near the esophagogastric junction (EGJ) increases the risk of injuring the EGJ. We investigated the safety of laparoscopic local resection for GISTs near the EGJ according to the distance from the EGJ to the tumor edge.

Methods

We retrospectively evaluated 40 patients who had undergone laparoscopic local resection for GISTs near the EGJ between January 2009 and December 2019. After excluding 1 patient who had undergone right colectomy at the same time, 39 patients were classified according to distance of the GIST from the EGJ in the Near group (0–2.0 cm; n = 16) and the Far group (2.1–5.0 cm; n = 23).

Results

We found no marked differences in the operation time, blood loss, length of postoperative hospital stay, or postoperative complication rate in the two groups. Anastomotic leakage occurred with a tumor located on the EGJ. Three tumors recurred in the Near group, and all of them were located on the EGJ.

Conclusion

Except for GISTs located on the EGJ, laparoscopic local resection for GISTs near the EGJ can be performed safely with few postoperative complications and a low risk of recurrence.

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Authors and Affiliations

  1. Division of Gastrointestinal Surgery, Department of Surgery, Graduate School of Medicine, Kobe University, 7-5-2, Kusunoki-cho, Chuo-ku, Kobe, Hyogo, 650-0017, Japan

    Kohei Tanigawa, Shingo Kanaji, Ryuichiro Sawada, Hitoshi Harada, Naoki Urakawa, Hironobu Goto, Hiroshi Hasegawa, Kimihiro Yamashita, Takeru Matsuda, Taro Oshikiri & Yoshihiro Kakeji

Authors
  1. Kohei Tanigawa
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  2. Shingo Kanaji
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  3. Ryuichiro Sawada
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  4. Hitoshi Harada
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  5. Naoki Urakawa
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  6. Hironobu Goto
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  7. Hiroshi Hasegawa
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  8. Kimihiro Yamashita
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  9. Takeru Matsuda
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  10. Taro Oshikiri
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  11. Yoshihiro Kakeji
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Corresponding author

Correspondence to Shingo Kanaji.

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Kohei Tanigawa and other co-authors have no conflicts of interest.

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Tanigawa, K., Kanaji, S., Sawada, R. et al. Safety of laparoscopic local resection for gastrointestinal stromal tumors near the esophagogastric junction. Surg Today 52, 395–400 (2022). https://doi.org/10.1007/s00595-021-02345-y

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  • DOI: https://doi.org/10.1007/s00595-021-02345-y

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