M. Yoshida et al., SURGICAL-MANAGEMENT OF GASTRIC LEIOMYOSARCOMA - EVALUATION OF THE PROPRIETY OF LAPAROSCOPIC WEDGE RESECTION, World journal of surgery, 21(4), 1997, pp. 440-443
Laparoscopic surgery has been applied to malignant gastric tumors. To
evaluate the propriety of laparoscopic wedge resection for gastric lei
omyosarcoma it is necessary to question whether lymph node dissection
is necessary for the surgical management of gastric leiomyosarcoma. A
retrospective study on open surgery cases of gastric leiomyosarcoma wa
s performed to address this issue. The clinical records of 25 patients
with gastric leiomyosarcoma who had had surgery mere examined. The pa
tients who underwent open surgery were divided into a systematic lymph
node dissection (SLND) group (n = 9) and a nondissection (non-D) grou
p (n = 19). No patient had lymph node metastasis at the time of operat
ion or recurrence, and statistical analysis showed no difference betwe
en the SLND and non-D groups in terms of survival rates. These data su
ggest that SLND might not be necessary for the surgical management of
gastric leiomyosarcoma and that laparoscopic wedge resection of the st
omach can be considered a first-line treatment for gastric leiomyosarc
oma.