AI Article Synopsis
- A study analyzed 36 cases of gastric submucosal tumors (SMTs) to identify preoperative factors that impact the difficulty of minimally invasive surgeries (MIS).
- Three key factors were found: tumor location, size over 4 cm, and intraluminal growth appearance, each contributing to a scoring system that predicts surgical time.
- The scoring system helps determine surgical difficulty, with higher scores correlating to increased blood loss and longer hospital stays, thus aiding in choosing optimal surgical approaches for patients.
Article Abstract
Background: Various minimally invasive surgery (MIS) procedures are used for gastric submucosal tumors (SMTs), and their technical difficulties vary. Preoperative understanding of difficulties is crucial; however, objective indicators are lacking.
Methods: Gastric SMTs requiring MIS (n = 36) were retrospectively analyzed. Preoperative factors were evaluated using a multivariate linear regression analysis. A scoring system was then constructed, and its feasibility was evaluated.
Results: Three factors were identified and scored based on the weighted contribution for predicting surgical time: tumor location (cardia, score of "2"; posterior wall of fundus, "1"); tumor size (greater than 4 cm, "1"); and tumor growth appearance (intraluminal, "1"). The summed scores could stratify the surgical time stepwise in each score, and patients who scored higher than 3 had larger intraoperative blood loss and a longer hospital stay.
Conclusion: Our scoring system predicted surgical difficulties and may, therefore, be useful in selecting appropriate surgical approaches for gastric SMTs.
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| http://dx.doi.org/10.1016/j.amjsurg.2021.07.028 | DOI Listing |
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