LAPAROSCOPIC RESECTION OF GASTROINTESTINAL STROMAL TUMORS (GIST)
Autor(a) principal: | |
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Data de Publicação: | 2016 |
Outros Autores: | , , , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | ABCD. Arquivos Brasileiros de Cirurgia Digestiva (São Paulo) |
Texto Completo: | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-67202016000100001 |
Resumo: | Background : Gastrointestinal mesenchymal or stromal tumors (GIST) are lesions originated on digestive tract walls, which are treated by surgical resection. Several laparoscopic techniques, from gastrectomies to segmental resections, have been used successfully. Aim : Describe a single center experience on laparoscopic GIST resection. Method : Charts of 15 operated patients were retrospectively reviewed. Thirteen had gastric lesions, of which ten were sub epithelial, ranging from 2-8 cm; and three were pure exofitic growing lesions. The remaining two patients had small bowel lesions. Surgical laparoscopic treatment consisted of two distal gastrectomies, 11 wedge gastric resections and two segmental enterectomies. Mechanical suture was used in the majority of patients except on six, which underwent resection and closure using manual absorbable sutures. There were no conversions to open technique. Results : Mean operative time was 1h 29 min±92 (40-420 min). Average lenght of hospital stay was three days (2-6 days). There were no leaks, postoperative bleeding or need for reintervention. Mean postoperative follow-up was 38±17 months (6-60 months). Three patients underwent adjuvant Imatinib treatment, one for recurrence five months postoperatively and two for tumors with moderate risk for recurrence . Conclusion : Laparoscopic GIST resection, not only for small lesions but also for tumors above 5 cm, is safe and acceptable technique. |
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LAPAROSCOPIC RESECTION OF GASTROINTESTINAL STROMAL TUMORS (GIST)LaparoscopyGISTSurgeryGastrectomyEnterectomy Background : Gastrointestinal mesenchymal or stromal tumors (GIST) are lesions originated on digestive tract walls, which are treated by surgical resection. Several laparoscopic techniques, from gastrectomies to segmental resections, have been used successfully. Aim : Describe a single center experience on laparoscopic GIST resection. Method : Charts of 15 operated patients were retrospectively reviewed. Thirteen had gastric lesions, of which ten were sub epithelial, ranging from 2-8 cm; and three were pure exofitic growing lesions. The remaining two patients had small bowel lesions. Surgical laparoscopic treatment consisted of two distal gastrectomies, 11 wedge gastric resections and two segmental enterectomies. Mechanical suture was used in the majority of patients except on six, which underwent resection and closure using manual absorbable sutures. There were no conversions to open technique. Results : Mean operative time was 1h 29 min±92 (40-420 min). Average lenght of hospital stay was three days (2-6 days). There were no leaks, postoperative bleeding or need for reintervention. Mean postoperative follow-up was 38±17 months (6-60 months). Three patients underwent adjuvant Imatinib treatment, one for recurrence five months postoperatively and two for tumors with moderate risk for recurrence . Conclusion : Laparoscopic GIST resection, not only for small lesions but also for tumors above 5 cm, is safe and acceptable technique.Colégio Brasileiro de Cirurgia Digestiva2016-03-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-67202016000100001ABCD. Arquivos Brasileiros de Cirurgia Digestiva (São Paulo) v.29 n.1 2016reponame:ABCD. Arquivos Brasileiros de Cirurgia Digestiva (São Paulo)instname:Colégio Brasileiro de Cirurgia Digestiva (CBCD)instacron:CBCD10.1590/0102-6720201600010001info:eu-repo/semantics/openAccessLoureiro,Marcelo de PaulaALMEIDA,Rômulo Augusto Andrade deClaus,Christiano Marlo PaggiBonin,Eduardo AimoréCury-Filho,Antônio MorisDimbarre,DaniellsonCOSTA,Marco Aurélio Raeder daVITAL,Marcílio Lisboaeng2016-04-18T00:00:00Zoai:scielo:S0102-67202016000100001Revistahttp://abarriguda.org.br/revista/index.php/revistaabarrigudaarepb/indexONGhttps://old.scielo.br/oai/scielo-oai.php||revistaabcd@gmail.com2317-63262317-6326opendoar:2016-04-18T00:00ABCD. Arquivos Brasileiros de Cirurgia Digestiva (São Paulo) - Colégio Brasileiro de Cirurgia Digestiva (CBCD)false |
dc.title.none.fl_str_mv |
LAPAROSCOPIC RESECTION OF GASTROINTESTINAL STROMAL TUMORS (GIST) |
title |
LAPAROSCOPIC RESECTION OF GASTROINTESTINAL STROMAL TUMORS (GIST) |
spellingShingle |
LAPAROSCOPIC RESECTION OF GASTROINTESTINAL STROMAL TUMORS (GIST) Loureiro,Marcelo de Paula Laparoscopy GIST Surgery Gastrectomy Enterectomy |
title_short |
LAPAROSCOPIC RESECTION OF GASTROINTESTINAL STROMAL TUMORS (GIST) |
title_full |
LAPAROSCOPIC RESECTION OF GASTROINTESTINAL STROMAL TUMORS (GIST) |
title_fullStr |
LAPAROSCOPIC RESECTION OF GASTROINTESTINAL STROMAL TUMORS (GIST) |
title_full_unstemmed |
LAPAROSCOPIC RESECTION OF GASTROINTESTINAL STROMAL TUMORS (GIST) |
title_sort |
LAPAROSCOPIC RESECTION OF GASTROINTESTINAL STROMAL TUMORS (GIST) |
author |
Loureiro,Marcelo de Paula |
author_facet |
Loureiro,Marcelo de Paula ALMEIDA,Rômulo Augusto Andrade de Claus,Christiano Marlo Paggi Bonin,Eduardo Aimoré Cury-Filho,Antônio Moris Dimbarre,Daniellson COSTA,Marco Aurélio Raeder da VITAL,Marcílio Lisboa |
author_role |
author |
author2 |
ALMEIDA,Rômulo Augusto Andrade de Claus,Christiano Marlo Paggi Bonin,Eduardo Aimoré Cury-Filho,Antônio Moris Dimbarre,Daniellson COSTA,Marco Aurélio Raeder da VITAL,Marcílio Lisboa |
author2_role |
author author author author author author author |
dc.contributor.author.fl_str_mv |
Loureiro,Marcelo de Paula ALMEIDA,Rômulo Augusto Andrade de Claus,Christiano Marlo Paggi Bonin,Eduardo Aimoré Cury-Filho,Antônio Moris Dimbarre,Daniellson COSTA,Marco Aurélio Raeder da VITAL,Marcílio Lisboa |
dc.subject.por.fl_str_mv |
Laparoscopy GIST Surgery Gastrectomy Enterectomy |
topic |
Laparoscopy GIST Surgery Gastrectomy Enterectomy |
description |
Background : Gastrointestinal mesenchymal or stromal tumors (GIST) are lesions originated on digestive tract walls, which are treated by surgical resection. Several laparoscopic techniques, from gastrectomies to segmental resections, have been used successfully. Aim : Describe a single center experience on laparoscopic GIST resection. Method : Charts of 15 operated patients were retrospectively reviewed. Thirteen had gastric lesions, of which ten were sub epithelial, ranging from 2-8 cm; and three were pure exofitic growing lesions. The remaining two patients had small bowel lesions. Surgical laparoscopic treatment consisted of two distal gastrectomies, 11 wedge gastric resections and two segmental enterectomies. Mechanical suture was used in the majority of patients except on six, which underwent resection and closure using manual absorbable sutures. There were no conversions to open technique. Results : Mean operative time was 1h 29 min±92 (40-420 min). Average lenght of hospital stay was three days (2-6 days). There were no leaks, postoperative bleeding or need for reintervention. Mean postoperative follow-up was 38±17 months (6-60 months). Three patients underwent adjuvant Imatinib treatment, one for recurrence five months postoperatively and two for tumors with moderate risk for recurrence . Conclusion : Laparoscopic GIST resection, not only for small lesions but also for tumors above 5 cm, is safe and acceptable technique. |
publishDate |
2016 |
dc.date.none.fl_str_mv |
2016-03-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-67202016000100001 |
url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-67202016000100001 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
10.1590/0102-6720201600010001 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html |
dc.publisher.none.fl_str_mv |
Colégio Brasileiro de Cirurgia Digestiva |
publisher.none.fl_str_mv |
Colégio Brasileiro de Cirurgia Digestiva |
dc.source.none.fl_str_mv |
ABCD. Arquivos Brasileiros de Cirurgia Digestiva (São Paulo) v.29 n.1 2016 reponame:ABCD. Arquivos Brasileiros de Cirurgia Digestiva (São Paulo) instname:Colégio Brasileiro de Cirurgia Digestiva (CBCD) instacron:CBCD |
instname_str |
Colégio Brasileiro de Cirurgia Digestiva (CBCD) |
instacron_str |
CBCD |
institution |
CBCD |
reponame_str |
ABCD. Arquivos Brasileiros de Cirurgia Digestiva (São Paulo) |
collection |
ABCD. Arquivos Brasileiros de Cirurgia Digestiva (São Paulo) |
repository.name.fl_str_mv |
ABCD. Arquivos Brasileiros de Cirurgia Digestiva (São Paulo) - Colégio Brasileiro de Cirurgia Digestiva (CBCD) |
repository.mail.fl_str_mv |
||revistaabcd@gmail.com |
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1754208957412409344 |