Laparoscopic Partial Sleeve Duodenectomy for the Infra-Ampullary Gastrointestinal Stromal Tumors of the Duodenum View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2018-06-13

AUTHORS

Sung Hoon Choi, Jiae Park, Chang Moo Kang, Woo Jung Lee

ABSTRACT

BackgroundAlthough organ-preserving operations are regarded as effective strategies for duodenal gastrointestinal stromal tumors (GISTs), laparoscopic partial sleeve duodenectomy (lap PSD) has not been fully evaluated. The aims of this study were to evaluate the effectiveness and technical feasibility of lap PSD.Study designBetween January 2011 and March 2016, we reviewed 13 patients who underwent laparoscopic approach among 22 patients who underwent PSD. PSD for the infra-ampullary lesions was defined as infra-ampullary duodenal resection including the first portion of the jejunum. After resection, all patients underwent reconstruction via side-to-side duodenojejunostomy.ResultsThe total mean operation time was 273 min (range 160–346 min), and estimated mean blood loss was 80 ml (range scanty-200 ml). One patient was converted to open laparotomy because of mesocolonic tumor involvement. The median postoperative hospital stay was 10.5 days (range 4–36 days). There were no postoperative mortalities. Postoperative complications included 2 instances of delayed gastric emptying (DGE), 1 duodenojejunostomy stricture, and 2 intestinal obstructions. No patient was treated with adjuvant therapy. One patient experienced hepatic metastasis 28 months after surgery during a mean follow-up period of 48.6 months.ConclusionLap PSD might be an oncologically effective strategy for duodenal GIST, and the laparoscopic approach is a technically feasible and appealing surgical modality in terms of safety and perioperative results. However, DGE and anastomosis strictures are concerns for postoperative complications, which need to be further investigated. More... »

PAGES

4005-4013

References to SciGraph publications

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  • 2001-10. Endoscopic marking: an adjunct to laparoscopic gastrointestinal surgery in SURGICAL ENDOSCOPY
  • 2012-11-03. Laparoscopic Pancreas-Sparing Subtotal Duodenectomy in Gastrointestinal Stromal Tumor of the Duodenum in ANNALS OF SURGICAL ONCOLOGY
  • 2014-11-25. Usefulness of Laparoscopic Side-to-Side Duodenojejunostomy for Gastrointestinal Stromal Tumors Located at the Duodenojejunal Junction in JOURNAL OF GASTROINTESTINAL SURGERY
  • 2002-09. Case reports: Online first in SURGICAL ENDOSCOPY
  • 2009-10-20. Surgery for Gastrointestinal Stromal Tumors of the Duodenum in ANNALS OF SURGICAL ONCOLOGY
  • 2012-11-15. Duodenal Gastrointestinal Stromal Tumors (GISTs): Arguments for Conservative Surgery in JOURNAL OF GASTROINTESTINAL SURGERY
  • 2010-08-20. Intraoperative portable abdominal radiograph for tumor localization: a simple and accurate method for laparoscopic gastrectomy in SURGICAL ENDOSCOPY
  • 2007-05-24. Intraoperative fluoroscopy vs. intraoperative laparoscopic ultrasonography for early colorectal cancer localization in laparoscopic surgery in SURGICAL ENDOSCOPY
  • 2015-04-21. Primary versus secondary delayed gastric emptying (DGE) grades B and C of the International Study Group of Pancreatic Surgery after pancreatoduodenectomy: a retrospective analysis on a group of 132 patients in UPDATES IN SURGERY
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    http://scigraph.springernature.com/pub.10.1007/s00268-018-4707-6

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    http://dx.doi.org/10.1007/s00268-018-4707-6

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    https://app.dimensions.ai/details/publication/pub.1104558332

    PUBMED

    https://www.ncbi.nlm.nih.gov/pubmed/29947989


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