Table 1. Studies about endoscopic resection for gastric GISTs.
Ref. | N | Method | Mean tumor diameter [range] (mm) | Mean operation time (min) | Complete resection rate (%) |
Complication (%) | Recurrence (%) |
---|---|---|---|---|---|---|---|
Sun et al. (18) | 29 | EBL | 9.2 [7–12] | – | 96.6 | 1 bleeding | 3.4 |
Nan et al. (19) | 24 | EBL | 8 [7–12] | – | 100 | 0 | 0 |
Huang et al. (21) | 38 | EBL | <12 | – | 100 | 3 perforation | – |
Nan et al. (20) | 177 | EBL | 8 [5–12] | – | 100 | 2 perforation | – |
An et al. (22) | 168 | ESD | 15 [5–60] | 46.5 [33–181] | 100 | 2 bleeding, 71 gastric wall defect | 0 |
He et al. (23) | 25/31† | ESD | 27 [20–50] | 70.16 [40–105] | 100 | 3 bleeding, 6 perforation | 0 |
Zhang et al. (24) | 69 | ESE | 18.7 [7–30] | 41.07±10.79 | 100 | 6 bleeding, 23 perforation, 5 surgery-related complication | 0 |
Huang et al. (21) | 18 | ESE | >15 | – | 100 | 0 | – |
Wang et al. (25) | 86 | ESE | – | – | 100 | 5 bleeding, 9 perforation | 5.8 |
Shi et al. (26) | 43/60‡ | ESE | 1.4 [5–50] | 38 | 100 | – | – |
Wang et al. (27) | 30 | ESE | 22 [10–35] | 50±5 [20–120] | 100 | 6 perforation | 0 |
Shi et al. (28) | 68 | EFTR | 26 | 41 | 100 | 1 Mallory-Weiss syndrome, 1 delayed bleeding | 0 |
Mori et al. (29) | 16 | EFTR | 28.3 | 271 | 100 | 0 | 0 |
Huang et al. (21) | 13 | EFTR | >20 | – | 100 | 0 | – |
Lu et al. (30) | 36/47§ | STER | 14 [5–50] | 79.3 [45–150] | 100 | 3 peumoperitoneum | 0 |
Li et al. (31) | 11/32§ | STER | 23 [10–50] | 51.8 [25–125] | 100 | Intraoperative: 1 bleeding, 6 peumoperitoneum; postoperative: 3 pneumothorax, 3 pleural effusion, 1 subphrenic infection | 0 |
Mao et al. (32) | 10/56§ | STER | 18 [10–32] | 41.5 [20–65] | 100 | 9 gas-related complications with or without pleural effusion | 0 |
Kikuchi et al. (33) | 10 | LECS | 24.1±7.6 | 253±45 | 100 | 1 intra-abdominal abscess | 0 |
Qiu et al. (34) | 69 | LECS | 28±16 | 86.1 | – | 1 leakage, 1 bleeding | 0 |
Hiki et al. (35) | 10 | LECS | 46±3 | 169±17 | 100 | 0 | – |
†, 25 of the 31 GISTs were located in the stomach; ‡, 43 of the 60 GISTs were located in the stomach; §, n/m, these 3 studies are about STER for gastric submucosal tumors, n of the m submucosal tumors are gastric GISTs. GISTs, gastrointestinal stromal tumors; EBL, endoscopic band ligation; ESD, endoscopic submucosal dissection; ESE, endoscopic submucosal excavation; EFTR, endoscopic full-thickness resection; STER, submucosal tunneling endoscopic resection; LECS, laparoscopic and endoscopic cooperative surgery.