Minimal Invasive Surgery for Gastric Subepithelial Tumor

Changhua Christian Medical Foundation

Status: Completed

Conditions: Gastric Subepithelial Tumor

Treatments: Procedure: Endoscopic resection

Study type: Observational

Funder types: Other

Identifiers

NCT05452265

220117

Details and patient eligibility

About

The investigators conducted a retrospective study of those patients with gastric SETs receiving ER or LR at the operative theater in the single institution from January 2013 to December 2021. Medical records were retrospectively reviewed to define patient/tumor characteristics and operative outcomes.

Enrollment: 194 patients

Sex: All

Ages: 18 to 99 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• patients with gastric subepithelial tumors
• patients received minimal invasive surgery (endoscopy or laparoscopy) for tumor resection

Exclusion criteria

• patients had gastric anatomic changes due to previous surgery
• patients converted open surgery

Trial design

194 participants in 2 patient groups

endoscopic resection (ER)

Description:

ER with backup surgery was indicated for patients with endoscopic intent, and a small tumor size tolerated endoscopic retrieval.

Treatment:

Procedure: Endoscopic resection

laparoscopic resection (LR)

Description:

LR was indicated for patients with surgical intent, and those with the following conditions, which were not suitable for ER: (1) large tumor size with difficult endoscopic retrieval ; (2) symptoms of gastrointestinal tract bleeding with difficulty in endoscopic visualization; (3) suspicion of tumor rupture that required intra-abdominal exploration; and (4) histologic diagnosis of GIST with initial treatment of target therapy.