Various fashions of laparoscopic resection for gastrointestinal stromal tumors in esophagogastric junction.

2017 ◽  
Vol 35 (15_suppl) ◽  
pp. e22512-e22512
Author(s):  
Wenjun Xiong ◽  
Wei Wang ◽  
Jin Wan
Keyword(s):  
Laparoscopic Surgery ◽  
Gastrointestinal Stromal Tumors ◽  
Esophagogastric Junction ◽  
Laparoscopic Resection ◽  
Stomach Wall ◽  
Linear Stapler ◽  
Stromal Tumors ◽  
Estimated Blood Loss ◽  
Laparoscopic Proximal Gastrectomy ◽  
The Mean

e22512 Background: Laparoscopic surgery for small (<5 cm) gastric gastrointestinal stromal tumors (GIST) is now widely performed. However, laparoscopic resection of GIST in esophagogastric junction is technically difficult. Herein, we introduce various fashion of laparoscopic resection for small GIST in esophagogastric junction. Methods: Retrospective review of 40 consecutive patients with small GIST in esophagogastric junction who underwent attempted laparoscopic surgery. GIST in esophagogastric junction was defined as that the distance of the upper border of GIST from esophagogastric line was less than 2 cm. Three fashions of laparoscopic resection were performed: fashion A, laparoscopic wedge resection using linear stapler; fashion B, laparoscopic complete resection by opening the stomach wall and the stomach wall incision was closed with suture; fashion C, laparoscopic proximal gastrectomy with pyloroplasty. The data of clinicopathologic characteristics, operative course and short-term outcomes were analyzed. Results: All procedures were finished successfully and no operative relatively complication was recorded. Tumor in 24/40 (60%) patients was located in greater curvature. 70.1% (17/24) of them received fashion A and others (7/24) underwent fashion B. Tumor in 16/40 (40%) patients was located in lesser curvature. 18.8% (3/16) of them underwent fashion C and others (13/16) underwent fashion B. The mean operative time was 97.4±21.3 min and the mean estimated blood loss was 20.5±10.4 ml. The mean first time of flatus was 39.2±10.0 hours and the time of fluid intake was 40.1±11.7 hours. The mean hospital stay was 4.2±1.3 days. The mean diameter of tumor was 2.7±1.0 cm. Conclusions: Laparoscopic surgery for small GIST in esophagogastric junction is safe and feasible. The selection of various laparoscopic resection fashions was according to the tumor location.

scholarly journals Nomogram for Predicting Risk of Esophagogastric Junction (EGJ) Resection During Laparoscopic Resection of Gastrointestinal Stromal Tumors in EGJ: A Retrospective Multicenter Study

2021 ◽  
Vol 8 ◽  
Author(s):  
Yuting Xu ◽  
Lijie Luo ◽  
Xingyu Feng ◽  
Yensheng Zheng ◽  
Tao Chen ◽  
...  
Keyword(s):  
Laparoscopic Surgery ◽  
Multicenter Study ◽  
Tumor Size ◽  
Gastrointestinal Stromal Tumors ◽  
Esophagogastric Junction ◽  
Distant Metastases ◽  
Stromal Tumors ◽  
Surgical Methods ◽  
Medical University ◽  
Retrospective Multicenter Study

Background: The established criteria for determining whether to excise the cardia during laparoscopic surgery for gastrointestinal stromal tumors in the esophagogastric junction (EGJ-GISTs) remain controversial. This retrospective multicenter study was conducted to develop a nomogram for predicting the risk of the cardia excision during laparoscopic surgery for EGJ-GISTs.Material and Methods: We reviewed data from 2,127 gastric-GISTs (g-GISTs) patients without distant metastases in four hospital between June 2012 and June 2020. Of those, according to the including criteria, 184 patients [Guangdong Provincial Hospital of Chinese Medicine (n = 81), Nanfang Hospital of Southern Medical University (n = 60), Guangdong General Hospital (n = 34), and The Third Affiliated Hospital of Southern Medical University (n = 9)] with EGJ-GISTs were identified and included in this study. Factors contributing to risk of cardia excision were identified and used to create a nomogram. Nomogram performance was assessed using a bootstrapped concordance index (c-index) and calibration plots.Results: According to the multivariate analysis, the distance from the margin of the tumor to the esophagogastric line (EG-line) (cm) (OR = 0.001, 95% CI: 0.00001~0.056, P = 0.001) and tumor size (cm) (OR = 14.969, 95% CI: 1.876~119.410, P = 0.011) were significantly related to likelihood of cardia structure excision in laparoscopic surgery for EGJ-GISTs. These two factors were used to generate a nomogram for predicting risk of cardia excision using a logistic regression model; a bootstrapped C-index of 0.988 (calibrated C-index = 0.987) indicated strong predictive ability, with broad calibration.Conclusions: This nomogram based on distance from tumor margin to EG-line and tumor size may serve as a tool for predicting risk of cardia damage during laparoscopic removal of EGJ-GISTs to aid in selection of surgical methods and preoperative neoadjuvant therapy.

Laparoscopic resection for gastrointestinal stromal tumors in esophagogastric junction (EGJ): how to protect the EGJ

2017 ◽  
Vol 32 (2) ◽  
pp. 983-989 ◽  
Author(s):  
Wenjun Xiong ◽  
Jiaming Zhu ◽  
Yansheng Zheng ◽  
Lijie Luo ◽  
Yaobin He ◽  
...  
Keyword(s):  
Gastrointestinal Stromal Tumors ◽  
Esophagogastric Junction ◽  
Laparoscopic Resection ◽  
Stromal Tumors

scholarly journals Two cases of intraoperative hemodynamic instability during combined thoracoscopic-laparoscopic surgery for esophagogastric junction carcinoma

2021 ◽  
Vol 7 (1) ◽  
Author(s):  
Makiko Tani ◽  
Yoshikazu Matsuoka ◽  
Mayu Sugihara ◽  
Ayaka Fujii ◽  
Tomoyuki Kanazawa ◽  
...  
Keyword(s):  
Laparoscopic Surgery ◽  
Esophagogastric Junction ◽  
Intraoperative Complications ◽  
Proximal Gastrectomy ◽  
Tension Pneumothorax ◽  
Hemodynamic Instability ◽  
Laparoscopic Proximal Gastrectomy ◽  
Surgical Field ◽  
Coronary Ischemia ◽  
Thoracic And Abdominal

Abstract Background Intraoperative complications during combined thoracoscopic-laparoscopic surgery for esophagogastric junction (EGJ) carcinoma have not been reported as compared to those during surgery for esophageal carcinoma. We present two cases which had surgery-related hemodynamic instability during laparoscopic proximal gastrectomy and intra-mediastinal valvuloplastic esophagogastrostomy (vEG) with thoracoscopic mediastinal lymphadenectomy for EGJ carcinoma. Case presentation In case 1, the patient fell into hypotension with hypoxemia during laparoscopic vEG due to pneumothorax caused by entry of intraabdominal carbon dioxide. In case 2, ventricular arrythmia and ST elevation occurred during laparoscopic vEG. Pericardium retraction to secure surgical field during reconstruction compressed the coronary artery, which caused coronary malperfusion. These two events were induced by the surgical procedure, characterized by the following: (1) connection of the thoracic and abdominal cavities and (2) cardiac displacement during vEG. Conclusion These cases indicated tension pneumothorax and coronary ischemia are possible intraoperative complications specific to combined thoracoscopic-laparoscopic surgery for EGJ carcinoma.

Laparoscopic surgery for familial multiple gastrointestinal stromal tumors with germ line c‐kit gene mutation

2020 ◽  
Author(s):  
Masahiro Hashimoto ◽  
Tsuyoshi Takahashi ◽  
Kiyokazu Nakajima ◽  
Yukinori Kurokawa ◽  
Yasuhiro Miyazaki ◽  
...  
Keyword(s):  
Laparoscopic Surgery ◽  
Gene Mutation ◽  
Gastrointestinal Stromal Tumors ◽  
Germ Line ◽  
Stromal Tumors ◽  
Kit Gene

Long-term and surgical outcomes of laparoscopic surgery for gastric gastrointestinal stromal tumors

2014 ◽  
Vol 28 (8) ◽  
pp. 2317-2322 ◽  
Author(s):  
Michitaka Honda ◽  
Naoki Hiki ◽  
Souya Nunobe ◽  
Manabu Ohashi ◽  
Takashi Kiyokawa ◽  
...  
Keyword(s):  
Laparoscopic Surgery ◽  
Surgical Outcomes ◽  
Gastrointestinal Stromal Tumors ◽  
Stromal Tumors

Long-term outcomes of percutaneous endoscopic intragastric surgery in the treatment of gastrointestinal stromal tumors at the esophagogastric junction

2015 ◽  
Vol 30 (5) ◽  
pp. 2036-2042 ◽  
Author(s):  
Eiji Kanehira ◽  
Aya Kamei ◽  
Akiko Umezawa ◽  
Atsushi Kurita ◽  
Takashi Tanida ◽  
...  
Keyword(s):  
Gastrointestinal Stromal Tumors ◽  
Esophagogastric Junction ◽  
Long Term Outcomes ◽  
Stromal Tumors ◽  
Intragastric Surgery

Meta-Analysis on the Efficacy and Safety of Laparoscopic Surgery for Large Gastric Gastrointestinal Stromal Tumors

2020 ◽  
pp. 000313482095148
Author(s):  
Miao Yu ◽  
Deng-chao Wang ◽  
Jian Wei ◽  
Yue-hua Lei ◽  
Zhao-jun Fu ◽  
...  
Keyword(s):  
Gastrointestinal Stromal Tumors ◽  
Laparoscopic Resection ◽  
Meta Analysis ◽  
Disease Free Survival ◽  
Operation Time ◽  
Intraoperative Blood Loss ◽  
Open Resection ◽  
Free Survival ◽  
Stromal Tumors ◽  
Disease Free

Background The aim of this study was to conduct a meta-analysis comparing the safety and feasibility of laparoscopic versus open resection for gastric gastrointestinal stromal tumors (GISTs) larger than 5 cm. Method We searched the Cochrane Library, PubMed, and Embase for relevant articles. Randomized and nonrandomized clinical trials were identified and included in this study. Searching for related articles on large GIST (>5 cm) for laparoscopic resection (laparoscopic group [LAPG]) and open resection (open group [OG]), RevMan 5.3 was used for data analysis, comparing 2 groups of operation time, intraoperative blood loss, complications, length of hospital stay, recurrence rate, disease-free survival, and overall survival. Results Seven studies including 440 patients were identified for the meta-analysis. Meta-analysis revealed that LAPG had less bleeding, shorter postoperative hospital stay, and a better 5-year disease-free survival. There was no significant difference between LAPG and OG in operation time, postoperative complications, recurrence rate, and overall survival. Conclusion Laparoscopic resection of large (>5 cm) GIST is safe and feasible and has the advantages of less intraoperative blood loss and fast postoperative recovery, with a good outcome in the recent oncology.

scholarly journals Surgical Management of Benign Gastric Tumors: A Review

2021 ◽  
pp. 420-426
Author(s):  
Hashem Bark Awadh Abood ◽  
Amani Nasser D. Albalawi ◽  
Haifa Obedullah AlEnazi ◽  
Mousa Mutlaq Almuhanna ◽  
Norah Othman Busaad ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Gastrointestinal Stromal Tumors ◽  
Laparoscopic Resection ◽  
Benign Tumors ◽  
Stromal Tumors ◽  
Gastric Tumors ◽  
Laparoscopic Excision ◽  
Long Time ◽  
The Difference ◽  
Stomach Epithelium

Benign stomach and duodenal tumors are uncommon. Any component of the stomach epithelium, whether glandular, endocrine, or mesenchymal, can develop benign neoplastic tumors. The majority of people with benign stomach and duodenal tumors are asymptomatic for a long time. When symptoms do appear, they are determined by the tumor's size, location, and comorbidities. Endoscopy, computed tomography, and especially endoscopic ultrasonography results are used diagnose. Clinically, it's difficult to tell the difference between benign and malignant stomach tumors. Even benign tumors can undergo malignant transformation, severe obstructive problems, and bleeding. As a result, aggressive surgical resection of the tumors should be undertaken. Laparoscopic resection has become the first option of many surgeons since the development of minimally invasive surgery. According to previous literature, laparoscopic excision of GIST is safe and effective. In this review we’ll be looking at benign gastric tumors, gastrointestinal stromal tumors (GISTs) and their diagnosis.

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