Abstract
Purpose
The aim of this study was to compare the outcomes of single-port laparoscopic gastric resection (SPLGR) with multiport laparoscopic gastric resection (MPLGR) for gastric gastrointestinal stromal tumors (GISTs).
Methods
Between April 2009 and December 2012, 16 consecutive patients with gastric GISTs underwent SPLGR. The patients undergoing the SPLGR were case-matched for age, sex, body mass index and tumor location with those undergoing MPLGR. The demographic and surgical outcomes were analyzed and compared from the review of a prospectively collected database of 16 patients who underwent MPLGR.
Results
All 16 patients underwent complete SPLGR without any intraoperative complications. No significant differences were observed in the mean length of the operation (91.4 vs. 94.1 min), blood loss (6.3 vs. 10.1 ml) and length of postoperative hospital stay (4.7 vs. 5.4 days) between the SPLGR and MPLGR groups. The tumor size was similar (37.8 vs. 32.1 mm) and negative surgical margins were achieved in all patients. At a mean follow-up of 27 months, all 16 SPLGR patients were disease-free.
Conclusions
Our initial comparison demonstrated that SPLGR, when performed by experienced surgeons, is a safe and feasible procedure for patients with gastric GISTs, resulting in good surgical and oncological outcomes.
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References
DeMatteo RP, Lewis JJ, Leung D, Mudan SS, Woodruff JM, Brennan MF. Two hundred gastrointestinal stromal tumors: recurrence patterns and prognostic factors for survival. Ann Surg. 2000;231:51–8.
Novitsky YW, Kercher KW, Sing RF, Heniford BT. Long-term outcomes of laparoscopic resection of gastric gastrointestinal stromal tumors. Ann Surg. 2006;243:738–45.
Sasaki A, Koeda K, Obuchi T, Nakajima J, Nishizuka S, Terashima M, Wakabayashi G. Tailored laparoscopic resection for suspected gastric gastrointestinal stromal tumors. Surgery. 2009;147:516–20.
Zornig C, Siemssen L, Emmermann A, Aim M, von Waldenfeis HA, Felixmüller C, Mofid H. NOTES cholecystectomy: matched-pair analysis comparing the transvaginal hybrid and conventional laparoscopic techniques in a series of 216 patients. Surg Endosc. 2011;25:822–6.
Roberts KE, Solomon D, Mirensky T, Silasi DA, Duffy AJ, Rutherford T, Longo WE, Bell RL. Pure transvaginal appendectomy versus traditional laparoscopic appendectomy for acute appendicitis: a prospective cohort study. Ann Surg. 2012;255:266–9.
Chanpagne BJ, Papaconstantinou HT, Parmar SS, Nagle DA, Young-Fadok TM, Lee EC, Delaney CP. Single-incision versus standard multiport laparoscopic colectomy: a multicenter case-controlled comparison. Ann Surg. 2012;255:66–9.
Ma J, Cassera MA, Spaum GO, Hammill CW, Hansen PD, Aliabadi-Wahle S. Randomized controlled trial comparing single-port laparoscopic cholecystectomy and four-port laparoscopic cholecystectomy. Ann Surg. 2011;254:22–7.
Asakuma M, Hayashi M, Komeda K, Shimizu T, Hirokawa F, Miyamoto Y, Okuda J, Tanigawa N. Impact of single-port cholecystectomy on postoperative pain. Br J Surg. 2011;98:991–5.
Sasaki A, Koeda K, Nakajima J, Obuchi T, Baba S, Wakabayashi G. Single-incision laparoscopic gastric resection for submucosal tumors: report of three cases. Surg Today. 2011;41:133–6.
Henckens T, Van de Putte D, Van Renterghem K, Ceelen W, Pattyn P, Van Nieuwenhove Y. Laparoendoscopic single-site gastrectomy for a gastric GIST using double-bended instruments. J Laparoendosc Adv Surg Tech. 2010;20:469–71.
Miettinen M, Lasota J. Gastrointestinal stromal tumors: pathology and prognosis at different sites. Semin Diagn Pathol. 2006;23:70–83.
Hiki N, Yamamoto Y, Fukunaga T, Yamaguchi T, Nunobe S, Tokunaga M, et al. Laparoscopic and endoscopic cooperative surgery for gastrointestinal stromal tumor dissection. Surg Endosc. 2008;22:1729–35.
Kakeji Y, Nakanoko T, Yoshida R, Eto K, Kumashiro R, Ikeda K, et al. Laparoscopic resection for gastrointestinal stromal tumors in the stomach. Surg Today. 2012;42:554–8.
Blay JY, Bonvalot S, Casali P, Choi H, Debiec-Richter M, Dei Tos AP, et al. Consensus meeting for the management of gastrointestinal stromal tumors. Report of the GIST Consensus Conference of 20-21 March 2004 under the auspices of ESMO. Ann Oncol. 2005;16:566–78.
Oyama K, Sasaki A, Chiba T, Nitta H, Otsuka K, Wakabayashi G. Single-incision laparoscopic splenectomy for idiopathic thrombocytopenic purpura: report of a case. Surg Today. 2011;41:1091–4.
Shimabuku M, Sasaki A, Higa M, Kakazu M, Asato M, Shiroma H. Single-incision laparoscopic adrenalectomy for primary aldosteronism: report of a case. Surg Today. 2011;41:1306–9.
Kobayashi M, Mizuno M, Sasaki A, Arisue A, Akiyama S, Wakabayashi G. Single-port laparoscopic Heller myotomy and Dor fundoplication: initial experience with a new approach for the treatment of pediatric achalasia. J Pediatr Surg. 2011;46:2200–3.
Gaujoux S, Kingham TP, Jarnagin WR, D’Angelica MI, Allen PJ, Fong Y. Single-incision laparoscopic liver resection. Surg Endosc. 2011;25:1489–94.
McNally ME, Todd Moore B, Brown KM. Single-incision laparoscopic colectomy for malignant disease. Surg Endosc. 2011;25:3559–65.
Bucher P, Pugin F, Buchs NC, Ostermann S, Morel P. Randomized clinical trial of laparoscopic single-site versus conventional laparoscopic cholecystectomy. Br J Surg. 2011;98:1695–702.
Champagne BJ, Lee EC, Leblanc F, Stein SL, Delancy CP. Single-incision vs straight laparoscopic segmental colectomy: a case-controlled study. Dis Colon Rectum. 2011;54:183–6.
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Akira Sasaki and the co-authors have no conflicts of interest to declare.
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Sasaki, A., Nitta, H., Otsuka, K. et al. Single-port versus multiport laparoscopic resection for gastric gastrointestinal stromal tumors: a case-matched comparison. Surg Today 44, 1282–1286 (2014). https://doi.org/10.1007/s00595-013-0690-6
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DOI: https://doi.org/10.1007/s00595-013-0690-6