Laparoscopic wedge resection of benign gastric tumor

• Published in: Hepato-gastroenterology Vol. 46; no. 27; p. 2100
• Main Authors: Cheng, H L, Lee, W J, Lai, I R, Yuan, R H, Yu, S C
• Format: Journal Article
• Language: English
• Published: Greece 01.05.1999
• Subjects: Adult; Aged; Female; Gastrectomy; Humans; Laparoscopy; Length of Stay; Male; Middle Aged; Minimally Invasive Surgical Procedures; Precancerous Conditions - pathology; Precancerous Conditions - surgery; Stomach - pathology; Stomach Neoplasms - pathology; Stomach Neoplasms - surgery; Stromal Cells - pathology; Treatment Outcome
• ISSN: 0172-6390

In the past 2 years, 9 patients diagnosed as benign gastric tumor pre-operatively underwent laparoscopic wedge resection of stomach at National Taiwan University Hospital. Among them, 6 were females and 3 were males. Histopathologically, 7 of 9 cases were of gastrointestinal stromal tumor (GIST). The clinical characteristics of this group were retrospectively reviewed and compared with another 12 cases of benign gastric tumor receiving open wedge resection in the same period. There were no differences in sex, age, and pre-operative diagnosis in these two groups. It took a significantly longer operation time in the laparoscopic group than it did in the open group (205.71 vs. 97.5 min, p<0.05). However, the patients of the laparoscopic group started post-operative oral intake earlier (4.0 vs. 5.58 days, p<0.05), had shorter hospital stays (6.67 vs. 10.77 days, p<0.05), and lower analgesic usage rate (55% vs. 100%). There were no differences in operative complication rates. Laparoscopic resection of benign-gastric tumor is recommended as a minimally invasive procedure.