Laparoscopic gastric gastrointestinal stromal tumor resection: The Mayo Clinic experience

Kevin L. Huguet, Robert M. Rush, Deron J. Tessier, Richard T. Schlinkert, Ronald A. Hinder, Gary G. Grinberg, Michael L. Kendrick, Kristi L. Harold

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Abstract

Hypothesis: Laparoscopic resection of gastric gastrointestinal stromal tumors (GISTs) is safe and effective. Design: Retrospective medical record review. Setting: Tertiary referral center. Patients: Patients undergoing laparoscopic resection of gastric GISTs from April 1, 2000, to April 1, 2006. Main Outcome Measures: Demographic data, diagnostic workup, operative technique, tumor characteristics, morbidity, mortality, and follow-up. Results: Thirty-three patients underwent attempted laparoscopic resection of gastric GISTs, with 31 operations completed laparoscopically. The mean patient age was 68 years (age range, 35-86 years). The female to male ratio was 18:15. Sixteen patients (49%) were asymptomatic, and their tumors were found incidentally. Of 24 patients (73%) who underwent preoperative endoscopic ultrasonography, the results of fine-needle aspiration verified the diagnosis in 13 patients (54%). The mean operative time was 124 minutes (range, 30-253 minutes). A combined endoscopic-laparoscopic approach was used in 11 patients (33%). The mean tumor size was 3.9 cm (range, 0.5-10.5 cm). Two patients (6%) underwent conversion to an open procedure. The median hospital stay duration was 3 days. The mean follow-up was 13 months (range, 3-64 months). There were no local recurrences. Three patients (9%) experienced complications, including 1 wound infection and 2 episodes of upper gastrointestinal tract bleeding. There were no mortalities. Conclusion: Although technically demanding, the laparoscopic approach to gastric GISTs is safe and effective, resulting in a short hospital stay duration and low morbidity.

Original languageEnglish (US)
Pages (from-to)587-590
Number of pages4
JournalArchives of Surgery
Volume143
Issue number6
DOIs
StatePublished - Jun 2008

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Gastrointestinal Stromal Tumors
Stomach
Length of Stay
Conversion to Open Surgery
Morbidity
Neoplasms
Endosonography
Upper Gastrointestinal Tract
Mortality
Wound Infection
Operative Time
Fine Needle Biopsy
Tertiary Care Centers
Medical Records
Demography
Outcome Assessment (Health Care)
Hemorrhage
Recurrence

ASJC Scopus subject areas

  • Surgery

Cite this

Huguet, K. L., Rush, R. M., Tessier, D. J., Schlinkert, R. T., Hinder, R. A., Grinberg, G. G., ... Harold, K. L. (2008). Laparoscopic gastric gastrointestinal stromal tumor resection: The Mayo Clinic experience. Archives of Surgery, 143(6), 587-590. https://doi.org/10.1001/archsurg.143.6.587

Laparoscopic gastric gastrointestinal stromal tumor resection : The Mayo Clinic experience. / Huguet, Kevin L.; Rush, Robert M.; Tessier, Deron J.; Schlinkert, Richard T.; Hinder, Ronald A.; Grinberg, Gary G.; Kendrick, Michael L.; Harold, Kristi L.

In: Archives of Surgery, Vol. 143, No. 6, 06.2008, p. 587-590.

Research output: Contribution to journalArticle

Huguet, KL, Rush, RM, Tessier, DJ, Schlinkert, RT, Hinder, RA, Grinberg, GG, Kendrick, ML & Harold, KL 2008, 'Laparoscopic gastric gastrointestinal stromal tumor resection: The Mayo Clinic experience', Archives of Surgery, vol. 143, no. 6, pp. 587-590. https://doi.org/10.1001/archsurg.143.6.587
Huguet KL, Rush RM, Tessier DJ, Schlinkert RT, Hinder RA, Grinberg GG et al. Laparoscopic gastric gastrointestinal stromal tumor resection: The Mayo Clinic experience. Archives of Surgery. 2008 Jun;143(6):587-590. https://doi.org/10.1001/archsurg.143.6.587
Huguet, Kevin L. ; Rush, Robert M. ; Tessier, Deron J. ; Schlinkert, Richard T. ; Hinder, Ronald A. ; Grinberg, Gary G. ; Kendrick, Michael L. ; Harold, Kristi L. / Laparoscopic gastric gastrointestinal stromal tumor resection : The Mayo Clinic experience. In: Archives of Surgery. 2008 ; Vol. 143, No. 6. pp. 587-590.
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