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Laparoscopic resection of gastrointestinal mesenchymal tumors located in the upper stomach

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Abstract

Background:

The treatment strategy for a gastrointestinal mesenchymal tumor located close to the esophagogastric junction remains controversial. The authors evaluate the criteria indicating that a gastrointestinal mesenchymal tumor is suitable for laparoscopic resection and assess the surgical techniques on the basis of clinical outcomes.

Methods:

The criteria specified a tumor more than 2 cm in diameter or a tendency for it to increase in size during the follow-up period. For eight patients in whom the tumor was located within 3 cm of the esophagogastric junction, an intragastric laparoscopic approach was used, whereas for seven patients in whom the tumor was further from the esophagogastric junction, an exogastric approach was used.

Results:

In all 15 cases, the laparoscopic resection was successful, with no complications. The intragastric group had a mean maximal tumor size of 2.9 cm, a mean operation time of 168 min, and a mean postoperative hospital stay of 8.8 days, whereas these values in the exogastric group, were respectively, 3.9 cm, 121 min (p = 0.0442), and 9.6 days. There were no recurrences in either group during the follow-up period.

Conclusion:

The good clinical outcomes suggest hat the criteria used as an indication for laparoscopic resection and the surgical techniques applied were appropriate for the resection of gastrointestinal mesenchymal tumors.

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Authors and Affiliations

  1. Second Department of Surgery, Dokkyo University School of Medicine, 880 Kitakobayashi, Mibu, Tochigi, 321-0293, Japan

    N. Tagaya, H. Mikami & K. Kubota

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  1. N. Tagaya
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  2. H. Mikami
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  3. K. Kubota
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Correspondence to N. Tagaya.

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Tagaya, N., Mikami, H. & Kubota, K. Laparoscopic resection of gastrointestinal mesenchymal tumors located in the upper stomach. Surg Endosc 18, 1469–1474 (2004). https://doi.org/10.1007/s00464-004-8800-6

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