Laparoscopic versus open wedge resection for gastrointestinal stromal tumors of the stomach: a single-center 8-year retrospective cohort study of 156 patients with long-term follow-up.

Abstract:

BACKGROUND:The aim of this study was to compared laparoscopic (LWR) and open wedge resection (OWR) for the treatment of gastric gastrointestinal stromal tumors (GISTs). METHODS:The data of 156 consecutive GISTs patients underwent LWR or OWR between January 2006 and December 2013 were collected retrospectively. The surgical outcomes and the long-term survival rates were compared. Besides, a rapid systematic review and meta-analysis were conducted. RESULTS:Clinicopathological characteristics of the patients were similar between the two groups. The LWR group was associated with less intraoperative blood loss (67.3 vs. 142.7 ml, P < 0.001), earlier postoperative flatus (2.3 vs. 3.2 days, P < 0.001), earlier oral intake (3.2 vs. 4.1 days, P < 0.001) and shorter postoperative hospital stay (6.0 vs. 8.0 days, P = 0.001). The incidence of postoperative complications was lower in LWR group but did not reach statistical significance (4/90, 4.4% vs. 8/66, 12.1%, P = 0.12). No significant difference was observed in 3-year relapse-free survival rate between the two groups (98.6% vs. 96.4%, P > 0.05). The meta-analysis revealed similar results except less overall complications in the LWR group (RR = 0.49, 95% CI, 0.25 to 0.95, P = 0.04). And the recurrence risk was similar in two group (RR = 0.80, 95% CI, 0.28 to 2.27, P > 0.05). CONCLUSIONS:LWR is a technically and oncologically safe and feasible approach for gastric GISTs compared with OWR. Moreover, LWR appears to be a preferable choice with mini-invasive benefits.

journal_name

BMC Surg

journal_title

BMC surgery

authors

Cai JQ,Chen K,Mou YP,Pan Y,Xu XW,Zhou YC,Huang CJ

doi

10.1186/s12893-015-0040-2

subject

Has Abstract

pub_date

2015-05-09 00:00:00

pages

58

issn

1471-2482

pii

10.1186/s12893-015-0040-2

journal_volume

15

pub_type

杂志文章,meta分析,评审
  • Successful emergency endovascular aortic repair for intratumoral hemorrhage in extensive retroperitoneal mass of testicular origin.

    abstract:BACKGROUND:Metastatic germ cell cancer of the testis is characterized by favorable prognosis since effective treatment methods are available even in cases of extensive disease. Retroperitoneal masses frequently encroach major blood vessels requiring a vascular intervention usually performed in association with the post...

    journal_title:BMC surgery

    pub_type: 杂志文章

    doi:10.1186/s12893-020-00933-2

    authors: Hulova S,Aziri R,Vulev I,Palacka P,Kolnikova G,Rejlekova K,Chovanec M,Mardiak J,Pindak D,Mego M

    更新日期:2020-11-07 00:00:00

  • Removal of a broken acupuncture needle in retroperitoneum by laparoscopy: a case report.

    abstract:BACKGROUND:Acupuncture is a famous traditional medicine in China, but the complications caused by broken acupuncture needles have been rarely reported. It seems easy to remove the foreign matters usually, but things become difficulty in special issues. Here, we reported a recently encountered case to provide an importa...

    journal_title:BMC surgery

    pub_type: 杂志文章

    doi:10.1186/s12893-019-0572-y

    authors: Liu ZH,Wang HD,Xu X,Man LB

    更新日期:2019-08-06 00:00:00

  • Influence of 4% icodextrin solution on peritoneal tissue response and adhesion formation.

    abstract:BACKGROUND:Postoperative peritoneal adhesion formation following abdominal surgery remains a relevant surgical problem. The application of soluble physico-chemical barriers like 4% icodextrin is one approach to protect the peritoneal surface from getting linked to adhesive scar. The aim of this study was to investigate...

    journal_title:BMC surgery

    pub_type: 杂志文章

    doi:10.1186/1471-2482-13-34

    authors: Klink CD,Schickhaus P,Binnebösel M,Jockenhoevel S,Rosch R,Tolba R,Neumann UP,Klinge U

    更新日期:2013-09-10 00:00:00

  • Results from the first Kuwait National Bariatric Surgery Report.

    abstract:BACKGROUND:Currently, more than 30% of the population in the gulf demonstrate a body mass index (BMI) exceeding 30. This burden of obesity has proven to take a toll on the population; therefore, we created the first Kuwait National Bariatric Surgery Database to report on bariatric surgeries performed in Kuwait. METHOD...

    journal_title:BMC surgery

    pub_type: 杂志文章

    doi:10.1186/s12893-020-00946-x

    authors: Al Sabah S,Al Haddad E,Jumaa T,Al Abbad J,Salam F,Abbas M,Al Kandari M,Al Ozairi A

    更新日期:2020-11-23 00:00:00

  • Laparoscopic adrenalectomy: preoperative data, surgical technique and clinical outcomes.

    abstract:BACKGROUND:laparoscopic adrenalectomy has become the standard treatment for adrenal lesions. The better clinical outcoms of laparoscopic technique are valid for treatment of small benign masses (< 5-6 cm), instead there are still open questions in literature regarding the correct management of larger lesions (> 6 cm) o...

    journal_title:BMC surgery

    pub_type: 杂志文章

    doi:10.1186/s12893-018-0456-6

    authors: Di Buono G,Buscemi S,Lo Monte AI,Geraci G,Sorce V,Citarrella R,Gulotta E,Palumbo VD,Fazzotta S,Gulotta L,Albano D,Galia M,Romano G,Agrusa A

    更新日期:2019-04-24 00:00:00

  • Cervical spine alignment following surgery for adolescent idiopathic scoliosis (AIS): a pre-to-post analysis of 81 patients.

    abstract:BACKGROUND:Several studies have emphasized the importance of restoring thoracic kyphosis (TK) in the setting of AIS, but very few have discussed changes in cervical spine alignment following surgery. Aim of this study was to evaluate reciprocal cervical alignment change after modification of global and regional thoraco...

    journal_title:BMC surgery

    pub_type: 杂志文章

    doi:10.1186/s12893-019-0471-2

    authors: Pepke W,Almansour H,Lafage R,Diebo BG,Wiedenhöfer B,Schwab F,Lafage V,Akbar M

    更新日期:2019-01-15 00:00:00

  • Totally laparoscopic versus conventional ileoanal pouch procedure--design of a single-centre, expertise based randomised controlled trial to compare the laparoscopic and conventional surgical approach in patients undergoing primary elective restorative pr

    abstract:BACKGROUND:Restorative proctocolectomy is increasingly being performed minimal invasively but a totally laparoscopic technique has not yet been compared to the standard open technique in a randomized study. METHODS/DESIGN:This is a two armed, single centre, expertise based, preoperatively randomized, patient blinded s...

    journal_title:BMC surgery

    pub_type: 杂志文章

    doi:10.1186/1471-2482-6-13

    authors: Antolovic D,Kienle P,Knaebel HP,Schmidt J,Gutt CN,Weitz J,Koch M,Büchler MW,Seiler CM

    更新日期:2006-11-24 00:00:00

  • Mesh Or Patch for Hernia on Epigastric and Umbilical Sites (MORPHEUS trial): study protocol for a multi-centre patient blinded randomized controlled trial.

    abstract:BACKGROUND:Evidence is accumulating that, similar to other ventral hernias, umbilical and epigastric hernias must be mesh repaired. The difficulties involved in mesh placement and in mesh-related complications could be the reason many small abdominal hernias are still primary closed. In laparoscopic repair, a mesh is p...

    journal_title:BMC surgery

    pub_type: 杂志文章,多中心研究,随机对照试验

    doi:10.1186/1471-2482-14-33

    authors: Ponten JE,Leenders BJ,Charbon JA,Lettinga-van de Poll T,Heemskerk J,Martijnse IS,Konsten JL,Nienhuijs SW

    更新日期:2014-05-22 00:00:00

  • Audio-video recording during laparoscopic surgery reduces irrelevant conversation between surgeons: a cohort study.

    abstract:BACKGROUND:The prevalence of perioperative surgical complications is a worldwide issue: In many cases, these events are preventable. Audio-video recording during laparoscopic surgery provides useful information for the purposes of education and event analyses, and may have an impact on the focus of the surgeons operati...

    journal_title:BMC surgery

    pub_type: 杂志文章

    doi:10.1186/s12893-018-0428-x

    authors: Bergström H,Larsson LG,Stenberg E

    更新日期:2018-11-06 00:00:00

  • Laparoscopic plug removal for femoral nerve colic pain after mesh & plug hernioplasty.

    abstract:BACKGROUND:Inguinal hernias account for 75% of abdominal wall hernias, with a lifetime risk of 27% in men and 3% in women. Major complications are recurrence, chronic pain, and surgical site infection, but their frequency is low. Few studies have reported a calcified mesh causing neuropathy by chronic compression of th...

    journal_title:BMC surgery

    pub_type: 杂志文章

    doi:10.1186/s12893-015-0046-9

    authors: Ohkura Y,Haruta S,Shinohara H,Lee S,Fukui Y,Kobayashi N,Momose K,Ueno M,Udagawa H

    更新日期:2015-05-17 00:00:00

  • An association of spleen volume and aortic diameter in patients and in mice with abdominal aortic aneurysm.

    abstract:BACKGROUND:To investigate the potential mechanism of splenic enlargement in Ang II/APOE model and the associations between the spleen volume and the indices of abdominal aortic aneurysm (AAA) in human. METHODS:To investigate the changes of spleen volume on AAA formation, apolipoprotein E knockout (Apo E-/-) mice were ...

    journal_title:BMC surgery

    pub_type: 杂志文章

    doi:10.1186/s12893-017-0328-5

    authors: Li FD,Kang R,Nie H,Wang XM,Zheng YH

    更新日期:2017-12-15 00:00:00

  • DIRECT trial. Diverticulitis recurrences or continuing symptoms: Operative versus conservative treatment. A multicenter randomised clinical trial.

    abstract:BACKGROUND:Persisting abdominal complaints are common after an episode of diverticulitis treated conservatively. Furthermore, some patients develop frequent recurrences. These two groups of patients suffer greatly from their disease, as shown by impaired health related quality of life and increased costs due to multipl...

    journal_title:BMC surgery

    pub_type: 杂志文章,多中心研究,随机对照试验

    doi:10.1186/1471-2482-10-25

    authors: van de Wall BJ,Draaisma WA,Consten EC,van der Graaf Y,Otten MH,de Wit GA,van Stel HF,Gerhards MF,Wiezer MJ,Cense HA,Stockmann HB,Leijtens JW,Zimmerman DD,Belgers E,van Wagensveld BA,Sonneveld ED,Prins HA,Coene PP,Kars

    更新日期:2010-08-06 00:00:00

  • Identification of population of bacteria from culture negative surgical site infection patients using molecular tool.

    abstract:BACKGROUND:Managing surgical site infections, with negative culture report in routine diagnosis is a common dilemma in microbiology accounting more than 30% worldwide. The present study attempted to identify the presence of bacterial spp. if any in wound aspirates/swabs of culture negative surgical site infections of h...

    journal_title:BMC surgery

    pub_type: 杂志文章

    doi:10.1186/s12893-020-01016-y

    authors: Behera HS,Chayani N,Bal M,Khuntia HK,Pati S,Das S,Ranjit M

    更新日期:2021-01-07 00:00:00

  • The first rib hypoplasia and the aberrant pulmonary artery branch detected by three-dimensional computed tomography in a surgical case with apical lung cancer, a case report.

    abstract:BACKGROUND:The complete resection is one of the most crucial requirements to achieve favorable outcomes in oncologic surgery. The apex of the lung is surrounded complicatedly by the clavicle, the first rib, the subclavian artery and vein, and the brachial plexus. Therefore, the image information especially about the in...

    journal_title:BMC surgery

    pub_type: 杂志文章

    doi:10.1186/s12893-016-0199-1

    authors: Sugiura Y,Fujimoto H,Naruke M,Hashizume T,Kaseda S,Nemoto E

    更新日期:2017-01-11 00:00:00

  • The utility of the preoperative neutrophil-to-lymphocyte ratio in predicting severe cholecystitis: a retrospective cohort study.

    abstract:BACKGROUND:To evaluate whether the neutrophil-to-lymphocyte ratio (NLR), as a prognostic indicator, in patients can differentiate between simple and severe cholecystitis. METHODS:A database of 632 patients who underwent cholecystectomy due to cholecystitis during approximately a seven-year span in a single institution...

    journal_title:BMC surgery

    pub_type: 杂志文章

    doi:10.1186/1471-2482-14-100

    authors: Lee SK,Lee SC,Park JW,Kim SJ

    更新日期:2014-11-27 00:00:00

  • Surgical treatment of children with total colonic aganglionosis: functional and metabolic long-term outcome.

    abstract:BACKGROUND:Total colonic aganglionosis (TCA) is a rare variant of Hirschsprung's disease occurring in 3-10% of the cases. Only few studies reported the long-term clinical and metabolic outcomes of patients with TCA. The aim of this study was to evaluate the functional and metabolic long-term outcomes of children underg...

    journal_title:BMC surgery

    pub_type: 杂志文章

    doi:10.1186/s12893-018-0383-6

    authors: Urla C,Lieber J,Obermayr F,Busch A,Schweizer R,Warmann SW,Kirschner HJ,Fuchs J

    更新日期:2018-08-15 00:00:00

  • A locking compression plate as an external fixator for treating infected nonunion of the humeral diaphysis.

    abstract:BACKGROUND:Infected nonunion of the humeral diaphysis is a challenging problem for orthopedic surgeons. This study aimed to evaluate the outcome of using a locking compression plate (LCP) as a definitive external fixator in the management of infected nonunion of the humeral diaphysis after failure of internal fixation....

    journal_title:BMC surgery

    pub_type: 杂志文章

    doi:10.1186/s12893-016-0167-9

    authors: Xiao C,Tang F,Zhou Y,Zhang W,Luo Y,Duan H,Tu C

    更新日期:2016-08-05 00:00:00

  • A survey on beliefs and attitudes of trainee surgeons towards placebo.

    abstract:BACKGROUND:The aim of this study was to investigate the beliefs and attitudes of trainee surgeons regarding placebo interventions, in surgical practice and in research, and to compare them to those of senior orthopaedic surgeons. METHODS:An invitation to participate in an online survey was sent to all the email addres...

    journal_title:BMC surgery

    pub_type: 杂志文章

    doi:10.1186/s12893-016-0142-5

    authors: Baldwin MJ,Wartolowska K,Carr AJ

    更新日期:2016-04-27 00:00:00

  • A dissonance-based intervention for women post roux-en-Y gastric bypass surgery aiming at improving quality of life and physical activity 24 months after surgery: study protocol for a randomized controlled trial.

    abstract:BACKGROUND:Roux-en-Y gastric bypass (RYGB) surgery is the most common bariatric procedure in Sweden and results in substantial weight loss. Approximately one year post-surgery weight regain for these patient are common, followed by a decrease in health related quality of life (HRQoL) and physical activity (PA). Our aim...

    journal_title:BMC surgery

    pub_type: 杂志文章,随机对照试验

    doi:10.1186/s12893-018-0358-7

    authors: Sellberg F,Possmark S,Ghaderi A,Näslund E,Willmer M,Tynelius P,Thorell A,Sundbom M,Uddén J,Szabo E,Berglind D

    更新日期:2018-05-09 00:00:00

  • Laparoscopic fenestration for a large ruptured splenic cyst combined with an elevated serum carbohydrate antigen 19-9 level: a case report.

    abstract:BACKGROUND:Non-parasitic splenic cysts are associated with elevated serum carbohydrate antigen (CA) 19-9 levels. We report a case in which a 23-year-old female exhibited a large ruptured splenic cyst and an elevated serum CA19-9 level. CASE PRESENTATION:The patient, who experienced postprandial abdominal pain and vomi...

    journal_title:BMC surgery

    pub_type: 杂志文章

    doi:10.1186/s12893-019-0517-5

    authors: Imoto Y,Einama T,Fukumura M,Kouzu K,Nagata H,Matsunaga A,Hoshikawa M,Nishikawa M,Kimura A,Noro T,Aosasa S,Shimazaki H,Ueno H,Yamamoto J

    更新日期:2019-05-30 00:00:00

  • Individualized procedures for splenic artery dissection during laparoscopic distal pancreatectomy.

    abstract:BACKGROUND:There are no established standard criteria for choosing the most appropriate procedure of splenic artery dissection during laparoscopic distal pancreatectomy (LDP). The aim of this study was to evaluate the clinical benefits of individualized procedures for splenic artery dissection during LDP based on the v...

    journal_title:BMC surgery

    pub_type: 杂志文章

    doi:10.1186/s12893-020-00694-y

    authors: Wada Y,Aoki T,Murakami M,Fujimori A,Koizumi T,Kusano T,Matsuda K,Nogaki K,Hakozaki T,Shibata H,Tomioka K

    更新日期:2020-02-13 00:00:00

  • Emergency general surgery in Rwandan district hospitals: a cross-sectional study of spectrum, management, and patient outcomes.

    abstract:BACKGROUND:Management of emergency general surgical conditions remains a challenge in rural sub-Saharan Africa due to issues such as insufficient human capacity and infrastructure. This study describes the burden of emergency general surgical conditions and the ability to provide care for these conditions at three rura...

    journal_title:BMC surgery

    pub_type: 杂志文章

    doi:10.1186/s12893-017-0323-x

    authors: Mpirimbanyi C,Nyirimodoka A,Lin Y,Hedt-Gauthier BL,Odhiambo J,Nkurunziza T,Havens JM,Omondi J,Rwamasirabo E,Ntirenganya F,Toma G,Mubiligi J,Bayitondere S,Riviello R

    更新日期:2017-12-01 00:00:00

  • Mesoglycan for pain control after open excisional HAEMOrrhoidectomy (MeHAEMO): an observational multicentre study on behalf of the Italian Society of Colorectal Surgery (SICCR).

    abstract:BACKGROUND:Excisional haemorrhoidectomy is the gold standard technique in patients with III and IV degree haemorrhoidal disease (HD). However, it is associated with a significant rate of post-operative pain. The aim of our study was to evaluate the efficacy of mesoglycan in the post-operative period of patients who und...

    journal_title:BMC surgery

    pub_type: 临床试验,杂志文章,多中心研究

    doi:10.1186/s12893-020-00914-5

    authors: Gallo G,Di Saverio S,Clerico G,Sturiale A,Manigrasso M,Luc AR,Trompetto M,Sammarco G,MeHAEMO Working Group.

    更新日期:2020-10-22 00:00:00

  • Neuralgia due to iliohypogastric nerve injury after inguinal hernioplasty: a case report.

    abstract:BACKGROUND:Neuralgia due to iliohypogastric nerve entrapment from sutures and mesh after inguinal hernioplasty is a rare entity in clinic. Its' awareness and management remain a clinical challenge. CASE PRESENTATION:We report a case of 54-year-old male who presented with post-operative pain after 1 month and sensory d...

    journal_title:BMC surgery

    pub_type: 杂志文章

    doi:10.1186/s12893-018-0391-6

    authors: Shadhu K,Ramlagun D,Chen S,Liu L

    更新日期:2018-08-16 00:00:00

  • Perioperative serum albumin as a predictor of adverse outcomes in abdominal surgery: prospective cohort hospital based study in Northern Tanzania.

    abstract:BACKGROUND:Albumin is an important protein that transports hormones, fatty acids, and exogenous drugs; it also maintains plasma oncotic pressure. Albumin is considered a negative active phase protein because it decreases during injuries and sepsis. In spite of other factors predicting surgical outcomes, the effect of p...

    journal_title:BMC surgery

    pub_type: 杂志文章

    doi:10.1186/s12893-020-00820-w

    authors: Issangya CE,Msuya D,Chilonga K,Herman A,Shao E,Shirima F,Naman E,Mkumbi H,Pyuza J,Mtui E,Sanga LA,Abdul S,Leyaro BJ,Chugulu S

    更新日期:2020-07-14 00:00:00

  • Short-term outcomes of laparoscopic local resection for gastric submucosal tumors: a single-center experience of 266 patients.

    abstract:BACKGROUND:Laparoscopic resections for submucosal tumors (SMTs) of the stomach have been developed rapidly over the past decade. Several types of laparoscopic methods for gastric SMTs have been created. We assessed the short-term outcomes of two commonly used types of laparoscopic local resection (LLR) for gastric SMTs...

    journal_title:BMC surgery

    pub_type: 杂志文章

    doi:10.1186/s12893-017-0231-0

    authors: Chen K,Pan Y,Zhai ST,Pan JH,Yu WH,Chen DW,Yan JF,Wang XF

    更新日期:2017-04-04 00:00:00

  • A case of splenic rupture: a rare event after laparoscopic cholecystectomy.

    abstract:BACKGROUND:Laparoscopic cholecystectomy (LC) is generally safe and well-accepted. In rare cases, it is associated with complications (intra- e postoperative bleeding, visceral injury and surgical site infection). Splenic lesion has been reported only after direct trauma. We report an unusual case of splenic rupture pre...

    journal_title:BMC surgery

    pub_type: 杂志文章

    doi:10.1186/1471-2482-14-106

    authors: Geraci G,Picciurro A,Attard A,Modica G,Cajozzo M,Sciumè C

    更新日期:2014-12-11 00:00:00

  • The role of prophylactic central compartment lymph node dissection in elderly patients with differentiated thyroid cancer: a multicentric study.

    abstract:BACKGROUND:Prophylactic central neck lymph-nodes dissection is still a topic of major debate in Literature. There is a lack of randomized controlled trials proving advantages in its application in terms of overall survival and local recurrence. Due to the recent rapid increase of elderly population, differentiated tumo...

    journal_title:BMC surgery

    pub_type: 杂志文章,多中心研究

    doi:10.1186/s12893-018-0433-0

    authors: Gambardella C,Patrone R,Di Capua F,Offi C,Mauriello C,Clarizia G,Andretta C,Polistena A,Sanguinetti A,Calò P,Docimo G,Avenia N,Conzo G

    更新日期:2019-04-24 00:00:00

  • Unusual metastasis of papillary thyroid cancer to the pancreas, liver, and diaphragm: a case report with review of literature.

    abstract:BACKGROUND:Papillary thyroid cancer (PTC) is the most common form of well-differentiated endocrine malignancy. Distant metastases of PTC are rare and usually occur in the bones, lungs, and thoracic lymph nodes despite the common locoregional metastases to the lymph nodes of the neck. The metastasis of PTC to the pancre...

    journal_title:BMC surgery

    pub_type: 杂志文章,评审

    doi:10.1186/s12893-020-00748-1

    authors: Ren H,Ke N,Tan C,Wang X,Cao W,Liu X

    更新日期:2020-04-22 00:00:00

  • Effect of different types of cerebral perfusion for acute type A aortic dissection undergoing aortic arch procedure, unilateral versus bilateral.

    abstract:BACKGROUND:Antegrade cerebral perfusion (ACP), including unilateral and bilateral, is most commonly used for cerebral protection in aortic surgery. There is still no consensus on the superiority of the two methods. Our research aimed to investigate the clinical effects of u-ACP and b-ACP. METHODS:321 of 356 patients w...

    journal_title:BMC surgery

    pub_type: 杂志文章

    doi:10.1186/s12893-020-00957-8

    authors: Liu Z,Wang C,Zhang X,Wu S,Fang C,Pang X

    更新日期:2020-11-18 00:00:00