Research Article
Surgical Management of Gastric Gastrointestinal Stromal Tumours: Comparison of Outcomes for Local and Radical Resection
| | Local resection () | Anatomical resection () | Extended resection () | value |
| | Age | 64 (43–86) | 68 (47–81) | 58 (35–76) | 0.03 | | BMI | 28 (21–40) | 25 (21–35) | 26.5 (22–36) | 0.403 | | Sex (M : F) | 20 : 15 | 14 : 17 | 9 : 1 | 0.045 | | ASA | | | | | | 1 | 3 (8.8%) | 5 (16.7%) | 1 (10%) | 0.614 | | 2 | 25 (73.5%) | 19 (63.3%) | 7 (64%) | | 3 | 6 (17.6%) | 5 (16.7%) | 2 (18%) | | 4 | 0 | 1 (3.3%) | 1 (10%) | | Neoadjuvant treatment | 1 (3%) | 5 (16%) | 7 (70%) | <0.001 | | Laparoscopic approach | 19 (54.3%) | 0 | 0 | <0.001 | | Operating time (min) | 90 (60–220) | 180 (120–320) | 170 (110–300) | <0.001 | | Blood loss (ml) | 60 (50–80) | 250 (50–1000) | 550 (50–3800) | 0.084 | | Length of stay (days) | 6 (2–20) | 10 (5–33) | 10 (4–16) | <0.001 | | Postoperative complication | 4 (15%) | 2 (6.7%) | 2 (18.2%) | 0.465 | | Accordion > 3 | 3 (8.6%) | 1 (3.3%) | 0 | 0.34 | | Pathological size (cm) | 3.5 (1.2–10.6) | 5.0 (2.5–14.8) | 7.0 (3.5–12.0) | 0.021 | | Pathological risk group | | | | | | Very low | 15 (42.9%) | 8 (26.7%) | 2 (18.2%) | 0.235 | | Low | 11 (31.4%) | 10 (33.3%) | 5 (45.5%) | | Medium | 6 (17.1%) | 5 (15.2%) | 0 | | High | 3 (8.6%) | 7 (23.3%) | 4 (36.4%) | | Adjuvant treatment | 1 (3%) | 3 (10%) | 3 (27%) | 0.134 | | Lymph node yield | 0 (0–19) | 17 (0–54) | 10 (0–48) | <0.001 | | Positive LN | 0 | 1 (0-1) | 0 | | | Resection margin | | | | 0.572 | | R0 | 34 (97.1%) | 29 (96.7%) | 10 (90.9%) | | | R1 | 1 (2.9%) | 1 (3.3%) | 1 (9.1%) |
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