Laparoscopic Resection of Large Gastric Stromal Tumors
NCT02662478 · Status: COMPLETED · Type: OBSERVATIONAL · Enrollment: 23
Last updated 2016-02-04
Summary
Despite laparoscopic surgical treatment has not been recommended in patients with gastric gastrointestinal stromal tumors (GIST) larger than 5 centimeter, but it continues to evolve rapidly to overcome the boundaries. Therefore the authors generated a morpho-anatomical classification system (MACS) adapted for primary gastric GISTs, by which they could plan to tailor the laparoscopic gastric resection appropriately. The aims of the study was to demonstrate the feasibility of laparoscopic surgery for primary gastric GISTs larger than 5 cm, to find out the accuracy and practicality of the MACS for the development a preoperative strategy and the extent to which this strategy overlaps with the reality.
Conditions
Interventions
- PROCEDURE
-
Laparoscopic Surgery
Mid-point between the xiphoid and umbilicus was used to the entrance site of the telescope. Open trocar insertion was used in patients with history of open upper abdominal surgery; otherwise Veress needle established CO2 insufflations. The number, size and entry points of the other trocars were tailored according to the tumor location and size. In general, 2 to 4 additional trocars were used. All specimens were taken out of the abdomen through a suprapubic transverse incision in a sterile bag. Resection technique was determined by the size, number, location of the lesion, and surgical anatomy of the stomach. Lymph node dissection was not done as it is unnecessary.
Sponsors & Collaborators
-
Bahçeşehir University
collaborator OTHER -
Muğla Sıtkı Koçman University
collaborator OTHER -
Medical Park Gaziantep Hospital
lead OTHER
Principal Investigators
-
Mehmet Kaplan, M.D. · Bahçeşehir Üniversitesi Tıp Fakültesi
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2008-06-30
- Primary Completion
- 2016-01-31
- Completion
- 2016-02-29
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