ArticleAnnals of surgical treatment and research2025
Comparison of single-incision intragastric and conventional multiport laparoscopic wedge resections for endophytic gastric subepithelial tumors: a retrospective single-center cohort study.
Article in Annals of surgical treatment and research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Purpose: Endophytic gastric subepithelial tumors (SETs), especially those near the gastroesophageal junction (GEJ), present challenges in localization and resection. This study aimed to compare the outcomes of single-incision intragastric wedge resection (SIWR) and conventional multiport laparoscopic wedge resection (CWR) for endophytic gastric SETs, including a subgroup analysis of tumors located near the GEJ. Methods: This retrospective, single-center study included 124 patients who underwent laparoscopic wedge resection for endophytic gastric SETs between January 2016 and December 2024. Operative and postoperative outcomes were compared between the SIWR (n = 23) and CWR (n = 101) groups. Subgroup analysis was performed for tumors located within 2 cm of the GEJ. Results: The mean tumor size was smaller in the SIWR group than in the CWR group (2.03 ± 0.97 cm Conclusion: Both CWR and SIWR are feasible approaches for endophytic gastric SETs. SIWR may be preferable in selecting GEJ-proximal cases but requires cautious application due to its higher complication rate.
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