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Factors Associated with Operation Time of Laparoscopic Gastric Wedge Resection for Gastric Subepithelial Tumors

Journal of Minimally Invasive Surgery 2020년 23권 3호 p.139 ~ 143
오동현, 박용은, 김상운, 배정민,
소속 상세정보
오동현 ( Oh Dong-Hyeon ) - Yeungnam University Medical Center Department of Surgery
박용은 ( Park Yong-Eun ) - Yeungnam University Medical Center Department of Surgery
김상운 ( Kim Sang-Woon ) - Yeungnam University Medical Center Department of Surgery
배정민 ( Bae Jung-Min ) - Yeungnam University Medical Center Department of Surgery

Abstract


Purpose: Gastric subepithelial tumor (GST) is a disease entity that includes all gastric subepithelial lesions. The oncologically safe surgical technique is complete resection with adequate resection margins. Most of the studies about laparoscopic gastric wedge rsection (LGWR) in GST focus on oncologic curability or surgical effectiveness. However, studies on the factors associated with the operation time are rare. Therefore, this study was conducted to analyze and compare the factors associated with the operation time of LGWR.

Methods: From 2010 to 2019, 145 consecutive patients undergoing LGWR were reviewed retrospectively. Clinical characteristics of GST and operation time were analyzed and compared.

Results: A total of 145 patients was enrolled and reviewed. There were 59 males (40.7%) and 86 females (59.3%) with a mean age of 53.6 years and mean body mass index (BMI) of 23.9 kg/m2. Mean tumor size was 2.9 cm and mean operation time was 66.0 minutes. In statistically, the mean operation time showed significant association with tumor size, BMI, longitudinal tumor location and tumor location between lesser and greater curvature. In multivariate analysis, tumor size, BMI and longitudinal classification of tumor location are statistically significant.

Conclusion: A shorter operation time is expected when there is a small tumor, low BMI and mid portion of the stomach GST. Preoperative evaluation for tumor size and body weight is important. In patients with large GST, obesity and both end stomach GST, we think that pre-operative preparation for long operation time should be considered.

키워드

Stomach neoplasms; Laparoscopy; Gastrectomy

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