ArticleSurgical endoscopy2017
Laparoscopic wedge resection for suspected large (≥5 cm) gastric gastrointestinal stromal tumors.
Article in Surgical endoscopy, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05938309 (A Prospective, Multicenter Cohort Study on the Efficacy and Safety of Laparoscopic Resection of 5cm or Larger Gastric Gastrointestinal Stromal Tumors), which is not on this map. Cited by 23 papers, 2 of them syntheses that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
A Prospective, Multicenter Cohort Study on the Efficacy and Safety of Laparoscopic Resection of 5cm or Larger Gastric Gastrointestinal Stromal Tumors
Who cites it
23 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- LAPAROSCOPIC VERSUS OPEN SURGERY IN GASTRIC GASTROINTESTINAL STROMAL TUMORS LARGER THAN 5 CM: A SYSTEMATIC REVIEW AND META-ANALYSIS.Arquivos brasileiros de cirurgia digestiva : ABCD = Brazilian archives of digestive surgery · 2023Pooled it
- Meta-analysis comparing laparoscopic versus open resection for gastric gastrointestinal stromal tumors larger than 5 cm.BMC cancer · 2017Pooled it
- Laparoscopic versus open resection for unfavorable sites gastric gastrointestinal stromal tumors: a propensity weighted cohort study.BMC surgery · 2025Article
- Is laparoscopic approach as treatment of large gastric GIST acceptable?Langenbeck's archives of surgery · 2024Article
- Minimally invasive technique for gastric GIST at challenging locations: single incision surgical gastroscopy.Updates in surgery · 2023Article
- Oncological outcomes of large gastrointestinal stromal tumors treated by laparoscopic resection.Surgical endoscopy · 2023Article
- Clinical outcomes and functional analysis of third space robotic and endoscopic cooperative surgery versus laparoscopic wedge resection for gastric submucosal tumours: a propensity score-matched study.Updates in surgery · 2022Article
- Early experience of laparoscopic resection and comparison with open surgery for gastric gastrointestinal stromal tumor: a multicenter retrospective study.Scientific reports · 2022Article
- Safety, efficacy, and selection strategy of laparoscopic local gastrectomy for gastrointestinal stromal tumors in the esophagogastric junction.Frontiers in surgery · 2022Article
- Advances in endoscopic resection techniques of small gastric tumors originating from the muscularis propria.Frontiers in oncology · 2022Article
- Correlation analysis of multi-slice computed tomography (MSCT) findings, clinicopathological factors, and prognosis of gastric gastrointestinal stromal tumors.Translational cancer research · 2020Article
- Robotic-assisted free-handed, full-thickness gastric GIST resection with primary repair in unfavorable locations.Journal of robotic surgery · 2019Article
- Large incidental gastrointestinal stromal tumors in a patient presenting with acutely symptomatic nephrolithiasis: A case report.Radiology case reports · 2019Article
- Laparoscopic treatment of large gastrointestinal stromal tumors (> 5 cm).Wideochirurgia i inne techniki maloinwazyjne = Videosurgery and other miniinvasive techniques · 2019Article
- Gastrointestinal stromal tumors: A multidisciplinary challenge.World journal of gastroenterology · 2018Review
- Effect of submucosal tunneling endoscopic resection for submucosal tumors at esophagogastric junction and risk factors for failure of en bloc resection.Surgical endoscopy · 2018Article
- Laparoscopic resection for gastrointestinal stromal tumors in esophagogastric junction (EGJ): how to protect the EGJ.Surgical endoscopy · 2018Article
- Robotic Gastrotomy With Intracorporeal Suture for Patients With Gastric Gastrointestinal Stromal Tumors Located at Cardia and Subcardiac Region.Surgical laparoscopy, endoscopy & percutaneous techniques · 2018Article
- Comparison between laparoscopic and open surgery for large gastrointestinal stromal tumors: A meta-analysis.World journal of gastrointestinal oncology · 2018Article
- Endoscopic submucosal dissection for gastric gastrointestinal stromal tumors: a retrospective cohort study.Surgical endoscopy · 2017Article
Corrections and comments
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Authors and funding
8 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundLaparoscopic wedge resection (LWR) for small gastric gastrointestinal stromal tumors (GIST) is now widely accepted, but its application for large GISTs remains controversial. This study aims to evaluate the feasibility and safety of LWR for suspected large (≥5 cm) gastric GISTs.
methodsRetrospective review of 82 consecutive patients who underwent attempted LWR for suspected gastric GIST. LWR for large (≥5 cm) (n = 23) tumors was compared with LWR for small (<5 cm) tumors (n = 59). The 23 patients with LWR for large tumors were also compared to 36 consecutive patients who underwent open wedge resection (OWR) for large tumors.
resultsComparison between patients who underwent LWR for large versus small tumors demonstrated that resection of large tumors was associated with a longer operating time. There was no difference in other perioperative outcomes, and oncological outcomes such as frequency of close margins (≤1 mm) and recurrence-free survival. Comparison between patients who underwent LWR versus OWR for large tumors showed that LWR was associated with decreased median time to fluid or solid diet, shorter postoperative stay but longer operating times. There was no difference in oncological outcomes.
conclusionLWR for suspected large gastric GIST is feasible and safe. It is associated with similar short-term outcomes with LWR for small tumors and favorable short-term outcomes over OWR for large tumors without compromising on oncological outcomes.
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