ArticleSaudi journal of gastroenterology : official journal of the Saudi Gastroenterology Association
Comparison between laparoscopic and endoscopic resections for gastric submucosal tumors.
Article in Saudi journal of gastroenterology : official journal of the Saudi Gastroenterology Association. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.
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Who cites it
17 citing papers in PubMed, 1 synthesis or guideline pooled it, 28 citations in OpenAlex.
- Endoscopic resection of esophageal and gastric submucosal tumors from the muscularis propria layer: submucosal tunneling endoscopic resection versus endoscopic submucosal excavation: A systematic review and meta-analysis.Surgical endoscopy · 2021Pooled it
- A nomogram prediction model for the risk of intra-abdominal infection after endoscopic full-thickness resection of gastric submucosal tumors.Biomedical engineering online · 2025Article
- Endoscopic characteristics and treatment modalities of gastrointestinal glomus tumors: a multicenter retrospective study.BMC gastroenterology · 2025Article
- Meta-analysis of postoperative incision infection risk factors in colorectal cancer surgery.Frontiers in surgery · 2024Article
- Laparoscopic resection and endoscopic submucosal dissection for treating gastric ectopic pancreas.World journal of gastrointestinal surgery · 2023Article
- Goldilocks principle of minimally invasive surgery for gastric subepithelial tumors.World journal of gastrointestinal surgery · 2023Article
- Comparison between Submucosal Tunneling Endoscopic Resection and Endoscopic Submucosal Dissection for Prepyloric Submucosal Tumors: A Case-Matched Controlled Study.Gastroenterology research and practice · 2023Article
- Comparison of effectiveness and safety between endoscopic and surgical resection for 2-5 cm gastric stromal tumors.Surgical endoscopy · 2022Article
- Feasibility of endoscopic resection without laparoscopic assistance for giant gastric subepithelial tumors originating from the muscularis propria layer (with video).Surgical endoscopy · 2022Article
- Comparative Study on the Clinical Effects of Different Surgical Methods in the Treatment of Gastrointestinal Stromal Tumors.Evidence-based complementary and alternative medicine : eCAM · 2022Article
- The Feasibility and Safety of the Clip-and-Snare Method with a Prelooping Technique for Gastric Submucosal Tumors Removal: A Single-Center Experience (with Video).Canadian journal of gastroenterology & hepatology · 2022Article
- Endoscopic versus surgical resection in the management of gastric schwannomas.Surgical endoscopy · 2021Article
- Factors predicting technical difficulties during endoscopic submucosal excavation for gastric submucosal tumor.The Journal of international medical research · 2021Article
- Endoscopic submucosal excavation and endoscopic full-thickness resection for gastric schwannoma: five-year experience from a large tertiary center in China.Surgical endoscopy · 2020Article
- Factors Associated with Operation Time of Laparoscopic Gastric Wedge Resection for Gastric Subepithelial Tumors.Journal of minimally invasive surgery · 2020Article
- Efficacy and safety of gastric exposed endoscopic full-thickness resection without laparoscopic assistance: a systematic review.Endoscopy international open · 2020Review
- Endoscopic Removal of Gastrointestinal Stromal Tumors in the Stomach: A Single-Center Experience.Gastroenterology research and practice · 2019Article
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Authors and funding
5 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
BACKGROUND/
aimsOpen resection/laparoscopic resection (LR) is the traditional treatment of gastric submucosal tumor (G-SMT). The endoscopic resection (ER) technology provides good results for G-SMT treatment but lacks sufficient evidence-based evidence. This retrospective study aimed to compare the clinical efficacy of ER [endoscopic submucosal dissection (ESD), endoscopic submucosal excavation (ESE), and endoscopic full-thickness resection (EFR)] and LR [laparoscopic wedge resection (LWR) and laparoscopic subtotal gastrectomy (LSG)] for G-SMT. PATIENTS AND
methodsFrom January 2013 to January 2017, data of patients with G-SMT with tumor diameter <5 cm were collected from the database of The Affiliated Hospital of Qingdao University and classified based on surgical methods. Demographics, tumor characteristics, surgical outcomes, complications and tumor recurrence were recorded and compared.
resultsOverall, 275 patients with G-SMT were enrolled: 152 underwent ER (ESD, n = 65; ESE, n = 23; EFR, n = 61) and 123 underwent LR (LWR, n = 93; LSG, n = 30). Age, sex, R0 resection rate, tumor location, type, recurrence and complications were not statistically significant (P > 0.05). The ER group had a significantly higher percentage of intraluminal tumor (94.1% vs 62.4%) and smaller tumor size (1.8 ± 0.8 vs 3.4 ± 1.2 cm) than the LR group. The ER group had less muscular tumors than the LR group (54.6% vs 70.7%). The ER group had no serosal tumor. The ER group had shorter hospitalization time, postoperative hospital stay and diet recovery time. The LR group had shorter operation time, less cost and less blood loss.
conclusionER and LR are safe and effective treatments for SMT. For small intraluminally growing SMT, ER is better than LR.
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