Extraluminal laparoscopic wedge resection of gastric submucosal tumors: a retrospective review of 84 cases

Abstract

ELWR is a safe, simple, and effective procedure for treating submucosal tumors in the upper part of the stomach. It can avoid intraperitoneal contamination, possible tumor spillage, and postoperative esophageal stenosis, and provides unlimited scope for gastric resection.

Endoscopic dissection of large endogenous myogenic tumors in the esophagus and stomach is safe and feasible: A report of 42 cases

“…Currently, submucosal myogenic tumors, including leiomyoma and stromal tumors as described in this study, are mainly treated by conventional methods such as open surgery or laparoscopic excision [1][2][3][4][5][6][7][8].…”

Nonepithelial, submucosal gastric tumors: is laparoscopic wedge resection the optimal treatment?

“…By contrast, laparoscopic wedge resection is an approach that could be performed widely, but more data still are needed to assess its safety and utility for patients with stromal gastric tumors. Therefore, the report by Ke et al [1] and analysis of their data merit our consideration. Ke et al [1] retrospectively identified 84 patients who underwent extraluminal laparoscopic wedge resection for gastric submucosal tumors between Sep 2000 and Dec 2007 and analyzed the clinical, pathologic, and follow-up data for these patients.…”

“…Therefore, the report by Ke et al [1] and analysis of their data merit our consideration. Ke et al [1] retrospectively identified 84 patients who underwent extraluminal laparoscopic wedge resection for gastric submucosal tumors between Sep 2000 and Dec 2007 and analyzed the clinical, pathologic, and follow-up data for these patients. All of the procedures were successfully performed with a mean operation time of 62.6 min.…”

“…In the August issue of the Surgical Endoscopy, Ke et al [1] evaluated whether laparoscopic wedge resection of gastric submucosal stromal tumors could be a safe and effective procedure. Compared with standard open gastrectomy, this minimally invasive approach could improve quality of life.…”

Laparoscopic wedge resection will be the optimal treatment for nonepithelial, submucosal gastric tumors

“…In our early experience (1997-1999), we had about a 10.5% (2/19) rate for postoperative complications such as esophagostenosis and gastric incision leakage, which urged us to explore a novel strategy for treating submucosal tumors. Since 2000, we have used ELWR to treat GISTs in the upper part of the gastric body and in the gastric fundus [4].…”