Objective:
Laparoscopic wedge resection is commonly used for gastric submucosal lesions. Early surgical and late oncologic results are similar to those of open surgery, although there are debates on limitations. In this study, we evaluated patients undergoing laparoscopic surgery for submucosal tumors.
Method:
Twenty-five patients, who had laparoscopic surgical resection for submucosal gastric lesions in Bakırköy Sadi Konuk hospital between 2012-2018, were retrospectively analyzed. Demographic characteristics, tumor size, location, and surgical treatment were recorded. The performed laparoscopic surgery technic is described.
Results:
Fourteen patients were female and 11 patients were male. The average age was 62.4. The mean diameter of the lesion was 46.7 mm. The largest tumor diameter was 80 mm. Three tumors were observed in the gastroesophageal junction, 1 in the cardia, 5 in the fundus, 10 in the corpus and 6 in the antrum. The mean operation duration was 46.7 minutes. Wound infections observed in 2 patients, and systemic infection in 1 patient. No mortality was recorded.
Conclusion:
Laparoscopic wedge resection for the submucosal gastric tumors were safe. Surgical methods that we use, large lesions, the lesions close to antrum or gastroesophageal junction can remove safely.
Keywords: GIST, stromal tumor, laparoscopy