Evidence map›Paper›PMID 36284015›Full record

ArticleSurgical endoscopy2023

Oncological outcomes of large gastrointestinal stromal tumors treated by laparoscopic resection.

Sheng-Chieh Lin, Hung-Hsuan Yen, Po-Chu Lee, I-Rue Lai

Abstract read
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Article in Surgical endoscopy, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

13 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Sheng-Chieh LinDepartment of Surgery, National Taiwan University Biomedical Park Hospital, Hsinchu, Taiwan.
Hung-Hsuan YenDepartment of Surgery, National Taiwan University Biomedical Park Hospital, Hsinchu, Taiwan.
Po-Chu LeeDepartment of Surgery, National Taiwan University Hospital, No. 7 Chung-Shan South Rd, Zhongzheng, Taipei, 10002, Taiwan.
I-Rue LaiDepartment of Surgery, National Taiwan University Hospital, No. 7 Chung-Shan South Rd, Zhongzheng, Taipei, 10002, Taiwan. iruelai@gmail.com.ORCID http://orcid.org/0000-0002-3444-8255

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe resection of large gastric gastrointestinal stromal tumors (GISTs) by laparoscopic has been controversial. Extending from our prior study, the long-term oncological outcome of laparoscopic resection of large (5-8 cm) gastric GISTs was reported.

methodsFrom 2002 to 2018, a consecutive 66 patients with gastric GISTs of 5-8 cm were treated at National Taiwan University Hospital. Among them, 30 patients received open surgery, and 36 received laparoscopic surgery. The clinicopathological data, peri-operative and oncological outcomes were compared between groups.

resultsThe clinical demographics including sex, age, BMI, tumor locations and ratio of wedge resection were similar between groups. The mean tumor size was 6.0 ± 0.83 cm versus 6.3 ± 1.07 cm (Open vs. Laparoscopic, p = 0.3). The operation time, blood loss, and post-operative complications, were also similar. The mean hospital stay was shorter in the laparoscopic group (8.8 ± 2.5 days) than in the open group (12.0 ± 8.9 days), though not significantly different. The median follow-up time was 108 ± 58 months (97 ± 50 in laparoscopic group; 122 ± 64 in open group). All except three patients remain disease-free. One in the open group and two in the laparoscopic group had recurrence of tumor, and they were stable of disease under Imatinib treatment. Eight patients died in non-GIST causes during follow-up. The 5-year recurrence-free survival were 100% for the open and 94.2% for the laparoscopic group (p = 0.2).

conclusionOur data showed that laparoscopic surgery for gastric GIST between 5 and 8 cm was safe and oncologically feasible.

Indexed as

Gastrointestinal Stromal TumorsLaparoscopyStomach NeoplasmsGastrectomyHumansLength of StayRetrospective StudiesTreatment OutcomeGISTLaparoscopic resectionLarge gastrointestinal stromal tumorSurgical treatment

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.