Feasibility of minimal access surgery in benign gastric tumour resections: report of 5 cases

[摘要] With the advent of modern techniques including the widespread use of gastric endoscopy, benign gastric lesions are diagnosed more frequently and can be characterized by means of biopsy. Of all gastric tumours, less than 5% are benign and 90% of these are polyps. The treatment options for benign gastric tumours vary from mucosal resection to limited gastric resection. Many different minimal access approaches to the limited resection of benign gastric tumours have now been described in the literature with reduced morbidity. This case report reviews the feasibility of laparoscopic approaches to surgical resection in 5 cases of benign gastric tumour, identified radiologically by computed tomography and histologically by gastroscopy and biopsy. Tumour size ranged from 2 cm to 5 cm in diameter. The mean operative time was 60 min, and mean blood loss was 50 mL. Bowel function returned on the second postoperative day. The mean length of hospital stay was 4 days. There has been no tumour recurrence over a mean follow-up of 24 months, with no complications and no mortality. The laparoscopic approach is ideal for the treatment of benign tumours of the stomach. Various options including a total laparoscopic approach or a combined laparoscopic and open approach are used depending on the site and type of tumour.

[学科分类] 传染病学

[关键词] Benign gastric tumours;combined approach;laparoscopic limited resection;GIST;lipoma