Laparoscopic versus open surgery in gastric gastrointestinal stromal tumors larger than 5 cm: a systematic review and meta-analysis

• Type: Article in International Scientific Journal
• Date: 2022

Authors

Araujo, FAP (Author) Other; Lopes, VNN (Author) FMUP; Barbosa, JPCD (Author) Other; Martins, MRD (Author) Other; José Barbosa (Author) FMUP

Journal

Title: Arquivos Brasileiros De Cirurgia Digestiva

Vol. 35

ISSN: 0102-6720

Publisher: Colégio Brasileiro de Cirurgia Digestiva

Indexing

ISI Web of Knowledge - 0 Citations

Scopus - 0 Citations

Other information

Authenticus ID: P-00X-RM6

DOI: 10.1590/0102-672020220002e1711

Abstract (EN): - BACKGROUND: Surgical resection represents the main treatment for resectable esquistosomotica om sangramento de varizes e a desconexao azgo-portal mais nonmetastatic gastric gastrointestinal stromal tumors. Despite the feasibility and safety of eslenetomia (DAPE) aociada a trapia endoscopica. Poem, estudomostram aumento laparoscopic resection, its standard use in gastric tumors larger than 5 cm is yet to be established. do calibre da varizes em alguns cients durant o seguimento em lngo prazo. Objetivo: AIMS: This s tudy aimed to compare the current e vidence on laparoscopic resection with the Avaliar o impacto da DAPE e tratamento endoscopico pos-operatorio no comportamento classical open surgical approach in terms of perioperative, postoperative, and oncological outcomes. METHODS: The PubMed, Scopus, and Web of Science databases were consulted. Articles comparing das varizes esofagicas e recidiva hemorragica, de pacientes esquistossomoticos. Metodos: the approach to gastric gastric gastrointestinal stromal tumors larger than 5 cm by open and Form estudados 36 pacientes com seguiment superior a cinc anos, disribuidos em laparoscopic surgery were eligible. A post hoc subgroup analysis based on the extent of the surgery doigrupos: queda da pressa poral abaixo de 30% e acima de 30% comparados com o was performed to evaluate the operative time, blood loss, and length of hospital stay. RESULTS: A calibre das varizes esofagicas no pos-opatorio precoce e tardio alem do indice de recidiva total of nine studies met the eligibility criteria. In the study, 246 patients undergoing laparoscopic hemorragica. Resultados surgery and 301 patients undergoing open surgery were included. The laparoscopic approach had statistically significant lower intraoperative blood loss (p=0.01) and time to oral intake (p<0.01), time esofagicas que, durante o seguimento aumentaram de calibre e foram controladas com to first flatus (p<0.01), and length of hospital stay (0.01), compared to the open surgery approach. No significant differences were found when operative time (0.25), postoperative complications o comportamento do calibre das varizes no pos-operatorio precoce nem tardio nem os (0.08), R0 resection (0.76), and recurrence rate (0.09) were evaluated. The comparative subgroup indices de recidiva hmorragica. Conilusao analysis between studies could not explain the substantial heterogeneity obtained in the respective outcomes. CONCLUSION: The laparoscopic approach in gastric gastrointestinal stromal tumors larger than 5 cm compared to the open surgical approach is a technically safe and feasible surgical operatorios precoces ou tardios. A comparacao entre a queda de pressao do portal e as method with similar oncological results.

Language: English

Type (Professor's evaluation): Scientific

No. of pages: 12