Laparoscopic management of gastric gastrointestinal stromal tumors

Table 2 Comparative series of laparoscopic resection of gastric gastrointestinal stromal tumor

Ref.	n	Age	Tumor size	Tumor localization	Type of surgery	OR time (min)	Notes	Complications/ conversions	Follow-up (mo)
Wu et al[8]	28	61.6 GLA 60.7 CA	2.6 ± 1 1.8 GLA 2.5 ± 1.0 CA	Anterior fundus: 5 GLA 5 CA Posterior fundus: 6 GLA 2 CA Anterior body: 3 GLA 3 CA Posterior Body: 1 GLA 3 CA	15 GLA 13 OS All were Wedge Resections	GLA 129 ± 36.1 CA 110.8 ± 38.1	GLA Less POP Pain during the first 3 d Earlier oral intake Less LOS 5.8 vs 7.2 días	7.1% complication 1 OS Ileus 1 Enterotomy during GLA corrected during LAP	NR
Catena et al[7]	21	50.1	4.5 ± 2.0	Body 16 Antrum 4 Fundus 1	21 PG	151 ± 56	LOS 4.8 ± 1.6	No intraoperative complications	35 (5-58)
	25	54.6	6.2 ± 1.9	Body 17 Antrum 6 Fundus 2	25 OS (PG)	134 ± 33	LOS 7.1 ± 1.2	No differences in complications	91 (80-136) 1 recurrence
Melstrom et al[31]	46	62 Lap	OS 6.39 82.1-10)	Lap: Upper third 6 Middle third 10 NS 1 OS: Upper third 6 Lower third 22 NS 1	17 PG 24 PG × OS 4 DG × OS 1 TotGas × OS	Lap 135 OS 157	LOS: OS 6.25 LAP 2.68 I	Complications OS: 13.8% LAP: 11.8% 6% conversion	OS 59 4 recurrences LAP 32 No Recurrences
	17 LAP	60 OS	LAP 4.27 (1.5-9.1)
	29 OS
De Vogelaere et al[11]	53		Total 5.9					LAP : 2.7% 1 Pulmonary	Lap 83
	37 LAP	LAP 63.7 ± 15.4	LAP 5.6	Not specified	Not specified	LAP 48.5 ± 16	LOS Lap 7	Embolism	No Recurrences LAP
	16 OS	OS 63.7 ± 10.7	OS 7.5	Not specified	Not specified	OS 155 ± 48.1	LOS OS 14	OS 18.7% complications: Pneumonia 1 Anastomotic Ulcer 1 Fistula 1	OS 71 6 recurrences CA
Karakousis et al[40]	80	68	OS 4.3 (2-9)	OS : Fundus 7	OS 39 PG 1 DG	OS 89 LAP 96	LOS: LAP 4 OS 7	Complications OS 25% LAP 14% 32.5% Conversions	LAP 28 (0.3-70 m) Recurrences 1 LAP OS 43 (0.1-139) Recurrences 1 OS
	OS 40		LAP 3.6 (0-7-7.8)	Body/antrum 32 Pylorus 1 Lesser curvature 12	LAP 40 PG
	LAP 40			LAP: Fundus 3 Body/antrum 37 Pylorus 0 Lesser curvature 10
Kim et al[41]	104 LAP 80 OS 24	59.8 ± 10.5	5.1 ± 3.3	Upper third 61 Middle third 24 Lower third 19	Technique according to procedures was NS 99 PG 5 TotGas	LAP 91.1 ± 57 CA 165.8 ± 75.6	LOS LAP 4.6 ± 2.3 CA 9.8 ± 4.1	1% Complications 1 Delayed Gastric Emptying	49.3 (8.4-164.4) Recurrences 5 No Difference in recurrences between OS and LAP
Silberhummer et al[21]	63 OS 41 LAP 22	62.3 ± 14.4	CA 5.8 ± 4.0 LAP 3.5 ±1.4	Body 29 Antrum 18 Fundus 10 GE Junction 6	OS: PG 32 DG 5 RG 4 LAP 19 Tumorectomy 3 PG	135 ± 56	LOS LAP 7.8 (± 3.1) LOS CA 12.8 ± 5.0	4.7% complications: 1 Gastrocutaneous Fistula 1 Catheter Sepsis 1 POP Ileus LAP: 18.2% conversions	37 ± 27.9 Recurrences in 4 (7%)
Nishimura et al[42]	LAP 39	62	LAP 3.8 (0.8-7.3)	LAP: Upper third 19 Middle third 16 Lower third 4	LAP GP: 12 LAP-HA 17 TransG 10	LAP: 136 min OS: 115 min	NR	No Complications Conversion Rate 2.6%	LAP: 18.9 (2.6-96.4) Recurrences 4 LAP
	OS 28		OS: 4.2 (2.0-7.0)	OS Upper third 11 Middle third 11 Lower third 6	OS PG: 19 Prox Gas: 5 TotGas: 3 DG:1				OS: 31.2 (4.4-121.9) 1 Recurrence OS
Otani et al[43]	60 OS 22 LAP 38	59 (32-86)	4,25 (1.8-15.0)	Upper third 36 Middle third 20 Lower third 4	LAP: PG: 35 LAP-HA: LAP-HA PG 2 LAP-HA DG 1 OS: PG 11 ProxGas 9 DG 2	LAP 141 LAP-HA 188 CA 197	LOS LAP 7.2 vs 13.7 CA	3.3% complications: 1 Gastric Stenosis 1 Anastomotic Leak	53 mo 2 Recurrences

GLA: Gasless laparoscopy-assisted; PG: Wedge resection or partial gastrectomy; DG: Distal gastrectomy; TransG: Transgastric gastrectomies; TotGas: Total gastrectomy; OS: Open surgery; AR: Anatomic resections; NAR: Non-anatomic resections; LOS: Length of stay; NS: Not specified; LAP/END: Laparoendoscopic resection; LAP-HA: Laparoscopic hand-assisted; RG: Remnant gastrectomy; Prox Gas: Proximal gastrectomy; SSI: Surgical site infection.