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Usefulness of laparoscopic side-to-side duodenojejunostomy for gastrointestinal stromal tumors located at the duodenojejunal junction

 Eiji Tanaka  ;  Minjhi Kim  ;  Joon Seok Lim  ;  Yoon Young Choi  ;  Avanish Saklani  ;  Sung Hoon Noh  ;  Woo Jin Hyung 
 Journal of Gastrointestinal Surgery, Vol.19(2) : 313-318, 2015 
Journal Title
 Journal of Gastrointestinal Surgery 
Issue Date
Adult ; Aged ; Anastomosis, Surgical/adverse effects ; Anastomosis, Surgical/methods ; Blood Loss, Surgical ; Duodenal Neoplasms/surgery* ; Duodenum/surgery* ; Female ; Gastrointestinal Stromal Tumors/surgery* ; Humans ; Jejunal Neoplasms/surgery* ; Jejunum/surgery* ; Laparoscopy/adverse effects ; Laparoscopy/methods* ; Length of Stay ; Male ; Middle Aged ; Neoplasm Recurrence, Local/etiology* ; Operative Time ; Treatment Outcome
GIST ; Duodenojejunal junction ; Laparoscopy ; Resection
BACKGROUND: Surgery for gastrointestinal stromal tumor (GIST) at the duodenojejunal junction is a technically challenging and difficult procedure because of the anatomical complexity. When it comes to laparoscopic surgery, it is more challenging than open surgery. This study aimed to introduce our laparoscopic procedure and to evaluate its clinical implication by comparing with open procedures. METHOD: Between 2003 and 2013, 19 patients underwent segmental resection for a GIST at the duodenojejunal junction: laparoscopic segmental resection with side-to-side duodenojejunostomy (n = 8) and open surgery (n = 11). Clinicopathological findings, operation details, and postoperative outcomes were compared. RESULTS: Both groups were comparable in demographics and clinicopathological characteristics. Postoperative hospital stay of the laparoscopic group (6.3 days) was significantly shorter than the open group (15.7 days, P = 0.008) while no significant differences were observed regarding estimated blood loss, operation time, and morbidity. All patients in both groups underwent curative resection without operative mortality. Two patients experienced recurrence after open surgery whereas none of the patients after laparoscopic duodenojejunostomy had recurrence with a median follow-up period of 36 months. CONCLUSION: Laparoscopic segmental resection with side-to-side duodenojejunostomy for a GIST at the duodenojejunal junction is a safe, feasible, and effective alternative to open approach, providing benefits of minimally invasive surgery.
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1. College of Medicine (의과대학) > Dept. of Surgery (외과학교실) > 1. Journal Papers
1. College of Medicine (의과대학) > Dept. of Radiology (영상의학교실) > 1. Journal Papers
Yonsei Authors
Noh, Sung Hoon(노성훈) ORCID logo https://orcid.org/0000-0003-4386-6886
Lim, Joon Seok(임준석) ORCID logo https://orcid.org/0000-0002-0334-5042
Choi, Yoon Young(최윤영) ORCID logo https://orcid.org/0000-0002-2179-7851
Hyung, Woo Jin(형우진) ORCID logo https://orcid.org/0000-0002-8593-9214
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