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  • Single-Incision...

Single-Incision Laparoscopic Surgery effective for Gastrointestinal Stromal Tumor

Written By : Jacinthlyn Sylvia |Medically Reviewed By : Dr. Kamal Kant Kohli Published On 2023-08-31T09:15:10+05:30  |  Updated On 31 Aug 2023 12:50 PM IST
Single-Incision Laparoscopic Surgery effective for Gastrointestinal Stromal Tumor
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In a recent study, Ji Won Seo and team found the outcomes of single-incision laparoscopic surgery (SILS) better than conventional laparoscopic surgery (CLS) for treating gastric gastrointestinal stromal tumors (GISTs). The findings of the study were published in BMC Surgery.

Between November 2020 and April 2022, a group of 15 consecutive patients with gastric GIST underwent single-incision gastric wedge resection, forming the SILS group. This group's early perioperative outcomes were then meticulously analyzed and compared with a corresponding group of 15 patients who had undergone conventional laparoscopic surgery (CLS). The selection criteria for the surgical approach were consistent with those used for traditional laparoscopic procedures for gastric GIST.

The study's findings revealed several significant insights. The estimated blood loss and intraoperative blood transfusion were comparable between the SILS and CLS groups, signifying similar surgical efficacy and safety. Notably, the SILS group experienced no intraoperative complications or instances requiring a shift to multiple-port or open surgery.

Interestingly, the choice of surgical technique seemed to be influenced by tumor location. Tumors located proximally were more frequently treated with CLS, while those situated in the greater curvature tended to be addressed through SILS.

A marked difference emerged in terms of incision length and postoperative recovery. The mean incision length in the SILS group was considerably shorter than that in the CLS group, translating to potential benefits in terms of postoperative pain and cosmetic outcomes. The SILS group also reported lower postoperative analgesic doses and a shorter duration of analgesic usage compared to the CLS group, further highlighting the potential advantages of the single-incision approach.

Crucially, the study showed that SILS could be considered a safe, feasible, and effective alternative to conventional laparoscopic surgery for treating gastric GISTs. The comparable rates of postoperative complications between the two techniques emphasize SILS's viability. Moreover, the study concluded that the choice between SILS and CLS need not be influenced by the type or location of the tumor, adding to the versatility of the single-incision approach.

Reference:

Seo, J. W., Park, K. B., Chin, H. M., & Jun, K.-H. (2023). Is single incision laparoscopic surgery (SILS) for gastric gastrointestinal stromal tumor (GIST) dependent on the location of the tumor? In BMC Surgery. Springer Science and Business Media LLC. https://doi.org/10.1186/s12893-023-02141-0

BMC surgeryLaparoscopic surgeryGastrointestinal stromal tumors
Source : BMC Surgery
Jacinthlyn Sylvia
Jacinthlyn Sylvia

    Neuroscience Masters graduate

    Jacinthlyn Sylvia, a Neuroscience Master's graduate from Chennai has worked extensively in deciphering the neurobiology of cognition and motor control in aging. She also has spread-out exposure to Neurosurgery from her Bachelor’s. She is currently involved in active Neuro-Oncology research. She is an upcoming neuroscientist with a fiery passion for writing. Her news cover at Medical Dialogues feature recent discoveries and updates from the healthcare and biomedical research fields. She can be reached at editorial@medicaldialogues.in

    Dr. Kamal Kant Kohli
    Dr. Kamal Kant Kohli

    Dr Kamal Kant Kohli-MBBS, DTCD- a chest specialist with more than 30 years of practice and a flair for writing clinical articles, Dr Kamal Kant Kohli joined Medical Dialogues as a Chief Editor of Medical News. Besides writing articles, as an editor, he proofreads and verifies all the medical content published on Medical Dialogues including those coming from journals, studies,medical conferences,guidelines etc. Email: drkohli@medicaldialogues.in. Contact no. 011-43720751

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