Case Report
Copyright ©The Author(s) 2020. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Aug 6, 2020; 8(15): 3365-3371
Published online Aug 6, 2020. doi: 10.12998/wjcc.v8.i15.3365
Total laparoscopic segmental gastrectomy for gastrointestinal stromal tumors: A case report
Yi-Xing Ren, Ming He, Peng-Cheng Ye, Shou-Jiang Wei
Yi-Xing Ren, Ming He, Peng-Cheng Ye, Shou-Jiang Wei, Department of General Surgery and Institute of Hepato-Biliary-Pancreas and Intestinal Disease, Affiliated Hospital of North Sichuan Medical College, Nanchong 637000, Sichuan Province, China
Author contributions: He M and Ren YX participated in the acquisition and analysis of the data and drafted the initial manuscript; Ye PC revised the article critically for important intellectual content; Wei SJ designed the study and submitted the manuscript; all authors read and approved the final manuscript.
Supported by National Natural Science Foundation of China, No. 81500396.
Informed consent statement: Informed written consent was obtained from the patients for publication of this report and any accompanying images.
Conflict-of-interest statement: The authors declare that they have no conflict of interest.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised in accordance with the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Corresponding author: Shou-Jiang Wei, MD, PhD, Chief Doctor, Department of General Surgery, and Institute of Hepato-Biliary-Pancreas and Intestinal Disease, Affiliated Hospital of North Sichuan Medical College, No. 63 Wenhua Road, Shunqing District, Nanchong 637000, Sichuan Province, China. nsmcwsj@163.com
Received: April 7, 2020
Peer-review started: April 7, 2020
First decision: June 13, 2020
Revised: July 8, 2020
Accepted: July 15, 2020
Article in press: July 15, 2020
Published online: August 6, 2020
Processing time: 121 Days and 8 Hours
Abstract
BACKGROUND

Gastrointestinal stromal tumors are lesions that originate from digestive tract walls. Several laparoscopic techniques, including local resections, wedge resections and partial gastrectomies, have been used successfully. However, there are no reports on laparoscopic segmental gastrectomy for gastrointestinal stromal tumors.

CASE SUMMARY

We present our analysis of 17 patients who were admitted to our hospital from January 2014 to December 2018. All tumors were located in the corpus and antrum of the stomach, close to the lesser curvature of the stomach. The tumors originated from the anterior wall in nine cases and from the posterior wall of the stomach in eight cases. Laparoscopic segmental gastrectomy and end-to-end anastomosis between the proximal and the distal residual stomach were used in all patients. The mean operative time was 112.4 min. The mean length of hospital stay was 4.6 d. Mean operative blood loss was 73.5 mL. There were no leaks, no postoperative bleeding nor need for reintervention. Mean postoperative follow-up was 35.4 mo. The Visick grading index showed fewer gastrointestinal symptoms 3 mo after surgery. Two patients (11.8%) had reflux esophagitis and gastritis.

CONCLUSION

Laparoscopic segmental gastrectomy may be a new function-preserving gastrectomy that is feasible for treatment of gastrointestinal stromal tumors that grow in the middle third of the stomach and on the lesser stomach curvature.

Keywords: Gastrointestinal stromal tumors; Laparoscopy; Segmental gastrectomy; Digestive tract; Case report

Core tip: Local resection, wedge resection and partial gastrectomy have been successfully applied to the treatment of gastrointestinal stromal tumors. However, the application of laparoscopic segmental gastroscopy in the treatment of gastrointestinal stromal tumors has not been reported. In this study, we analyzed a series of cases from 2014 to 2018 in our single center of applied laparoscopic segmental gastrectomy for gastrointestinal stromal tumors. We describe the preoperative and intraoperative conditions of all patients as well as the postoperative complications.