Chang Yeon Soo
Department of Surgery, Eulji Medical Center, Eulji University College of Medicine, Seoul, Korea.
J Minim Invasive Surg. 2019 Sep 15;22(3):89-90. doi: 10.7602/jmis.2019.22.3.89.
A subepithelial tumor (SET) is a common disease of the stomach. A gastrointestinal stromal tumor (GIST), which has malignant potential, is the most common tumor among SETs. The definite treatment of SETs of the stomach should be a complete resection; thus, a laparoscopic wedge resection has been the standard treatment for SET of the stomach. The surgical and oncologic outcomes of laparoscopic wedge resections for gastric GIST have shown it to be safe and feasible compared to open surgery. The authors reported that small sized SET and tumor located in areas other than the posterior wall can be a candidate for shorter hospitalization. The critical pathway (CP) and new therapeutic options can be helpful for reducing the hospital stay. On the other hand, it is important not to overlook the fatal complications after discharge.
黏膜下肿瘤（SET）是胃部的常见疾病。具有恶性潜能的胃肠道间质瘤（GIST）是SET中最常见的肿瘤。胃SET的明确治疗应为完整切除；因此，腹腔镜楔形切除术一直是胃SET的标准治疗方法。与开放手术相比，腹腔镜楔形切除术治疗胃GIST的手术和肿瘤学结果表明其安全可行。作者报告称，小型SET以及位于后壁以外区域的肿瘤可能是缩短住院时间的候选对象。关键路径（CP）和新的治疗选择有助于缩短住院时间。另一方面，出院后不可忽视致命并发症。
