Assessment of quality of life after laparoscopic versus open surgery for gastric stromal tumor patients_Chinese Journal of Evidence-Based Medicine

Authors：

YUAN Xiang ¹ , HU Yifan ² , CHEN Yi ³ , PAN Nanfang ¹ , XIAO Yi ¹ , LIU Chengxin ¹ , LI Dian ¹ , ZHUANG Hanxiang ³ ,  CHENG Zhong ³

1. West China School of Medcine, Sichuan University, Chengdu, 610041, P.R.China;
2. West China Public Health School, Sichuan University, Chengdu, 610041, P.R.China;
3. Department of General Surgery, West China Hospital, Sichuan University, Chengdu, 610041, P.R.China;

Corresponding?author：

CHENG Zhong, Email: 18980601503@126.com

Keywords：

Gastric stromal tumor; Laparoscopic; Open surgery; Postoperative quality of life; SF-36 scale

DOI：

10.7507/1672-2531.201703058

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Objective To compare the quality of life after laparoscopic and open surgery for gastric stromal tumor patients. Methods We collected the data of the patients undergoing the gastric stromal tumor surgery from May 2011 to August 2016 in West China Hospital of Sichuan University, and compared the basic data, complications, micturition time, hospital stay time, bleeding volume and hospitalization expenses. SF-36 scale was used to evaluate the quality of life. Then, SPSS 19.0 software was used for data analysis. Results Eighty nine patients involving 31 laparoscopic patients and 58 open surgery patients were included. There was no statistical significance in basic line between two groups. The laparoscopic group had shorter micturition time and hospital stay time, less intraoperative bleeding and lower hospitalization costs, the differences between two groups were statistically significant (P<0.05). But there were no significant differences between two groups in the operation time and postoperative complication rate. The SF-36 quality of life scale of laparoscopic group and open surgery group were 737.7±68.3 and 665.1±138.1, respectively. The laparoscopic surgery group had higher scores in validity (VT), social function (SF) and mental health (MH) than those in open surgery group with significant differences (P<0.05). Conclusion Laparoscopic surgery is safe and effective for the patients with stromal tumor. Patients in laparoscopic group have shorter recovery time and higher quality of life than open surgery group. Due to the limited of study design, more high quality studies are needed to verify above conclusion.

Citation： YUAN Xiang, HU Yifan, CHEN Yi, PAN Nanfang, XIAO Yi, LIU Chengxin, LI Dian, ZHUANG Hanxiang, CHENG Zhong. Assessment of quality of life after laparoscopic versus open surgery for gastric stromal tumor patients. Chinese Journal of Evidence-Based Medicine, 2017, 17(10): 1127-1130. doi: 10.7507/1672-2531.201703058 Copy

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2.	CSCO胃腸間質瘤專家委員會. 中國胃腸間質瘤診斷治療專家共識(2011 年版). 中華胃腸外科雜志, 2012, 15(3): 301-307.0.
3.	Piessen G, Lefèvre JH, Cabau M, et al. Laparoscopic versus open surgery for gastric gastrointestinal stromal tumors: what is the impact on postoperative outcome and oncologic results? Ann Surg, 2015, 262(5): 829-831.
4.	Mochizuki Y, Kodera Y, Fujiwara M, et al. Laparoscopic wedge resection for gastrointestinal stromal tumors of the stomach: initial experience. Surgery Today, 2006, 36(4): 341-347.
5.	趙瑩, 王強. 腹腔鏡手術與開腹手術治療胃間質瘤 51 例臨床分析. 中國臨床腫瘤雜志, 2011, 38(8): 463-465.0.
6.	Sinha R, van den Heuvel WJ, Arokiasamy P. Validity and reliability of MOS short form health survey SF-36 for use in India. Indian J Community Med, 2013, 38(1): 22-26．.
7.	李子禹, 邢兆東, 王警, 等. 腹腔鏡在胃間質瘤手術治療中應用價值研究. 中國實用外科雜志, 2015, 35(4): 426-429.0.
8.	馬寶慶, 薛建, 蘇英鋒. 腹腔鏡聯合胃鏡與開腹手術治療胃間質瘤臨床比較研究. 中國普外基礎與臨床雜志, 2016, 23(4): 434-438.0.
9.	Wang J, Wang Y, Wang LB, et al. A comparison of quality of life in adolescents with epilepsy or asthma using the Short-Form Health Survey (SF-36). Epilepsy Res, 2012, 101(1-2): 157-165．.
10.	Karlsen TI, Tveita EK. Validity of the SF-36 in patients with morbid obesity. Obes Facts, 2011, 4(5): 346-351.
11.	Corica F, Corsonello A, Apolone G, et al. Construct validity of the Short Form-36 Health Survey and its relationship with BMI in obese outpatients. Obesity (Silver Spring), 2006, 14(8): 1429-1437.
12.	Matthews BD, Joel CS, Kercher KW, et al. Gastrointestinal stromal tumors of the stomach. Minerva Chir, 2004, 59(3): 219-231.
13.	歐陽彥, 潘曉霞, 王朝暉, 等. SF-36 量表評估 Fabry 病患者生活質量的研究. 中華腎臟病雜志, 2014, 30(3): 201-205.0.
14.	von Mehren M, Randall RL, Benjamin RS, et al. Gastrointestinal stromal tumors, version 2. 2014. J Natl Compr Canc Netw, 2014, 12(6): 853-862.
15.	CSCO胃腸間質瘤專家委員會. 中國胃腸間質瘤診斷治療共識(2013 年版). 臨床腫瘤學雜志, 2013, 18(11): 1025-1032.
16.	Hsiao CY, Yang CY, Lai IR, et al. Laparoscopic resection for large gastric gastrointestinal stromal tumor (GIST): intermediate follow-up results. Surg Endosc, 2014, 3(5): 879-881.
17.	Kasetsermwiriya W, Nagai E, Nakata K, et al. Laparoscopic surgery for gastric gastrointestinal stromal tumor is feasible ir-respective of tumor size. J Laparoendosc Adv Surg Tech A, 2014, 24(3): 123-129.

1. Mazur MT, Clark HB. Gastric stromal tumors. Reappraisal of histogenesis. Am J Aurg Pathol, 1983, 7(6): 507-519.
2. CSCO胃腸間質瘤專家委員會. 中國胃腸間質瘤診斷治療專家共識(2011 年版). 中華胃腸外科雜志, 2012, 15(3): 301-307.0.
3. Piessen G, Lefèvre JH, Cabau M, et al. Laparoscopic versus open surgery for gastric gastrointestinal stromal tumors: what is the impact on postoperative outcome and oncologic results? Ann Surg, 2015, 262(5): 829-831.
4. Mochizuki Y, Kodera Y, Fujiwara M, et al. Laparoscopic wedge resection for gastrointestinal stromal tumors of the stomach: initial experience. Surgery Today, 2006, 36(4): 341-347.
5. 趙瑩, 王強. 腹腔鏡手術與開腹手術治療胃間質瘤 51 例臨床分析. 中國臨床腫瘤雜志, 2011, 38(8): 463-465.0.
6. Sinha R, van den Heuvel WJ, Arokiasamy P. Validity and reliability of MOS short form health survey SF-36 for use in India. Indian J Community Med, 2013, 38(1): 22-26．.
7. 李子禹, 邢兆東, 王警, 等. 腹腔鏡在胃間質瘤手術治療中應用價值研究. 中國實用外科雜志, 2015, 35(4): 426-429.0.
8. 馬寶慶, 薛建, 蘇英鋒. 腹腔鏡聯合胃鏡與開腹手術治療胃間質瘤臨床比較研究. 中國普外基礎與臨床雜志, 2016, 23(4): 434-438.0.
9. Wang J, Wang Y, Wang LB, et al. A comparison of quality of life in adolescents with epilepsy or asthma using the Short-Form Health Survey (SF-36). Epilepsy Res, 2012, 101(1-2): 157-165．.
10. Karlsen TI, Tveita EK. Validity of the SF-36 in patients with morbid obesity. Obes Facts, 2011, 4(5): 346-351.
11. Corica F, Corsonello A, Apolone G, et al. Construct validity of the Short Form-36 Health Survey and its relationship with BMI in obese outpatients. Obesity (Silver Spring), 2006, 14(8): 1429-1437.
12. Matthews BD, Joel CS, Kercher KW, et al. Gastrointestinal stromal tumors of the stomach. Minerva Chir, 2004, 59(3): 219-231.
13. 歐陽彥, 潘曉霞, 王朝暉, 等. SF-36 量表評估 Fabry 病患者生活質量的研究. 中華腎臟病雜志, 2014, 30(3): 201-205.0.
14. von Mehren M, Randall RL, Benjamin RS, et al. Gastrointestinal stromal tumors, version 2. 2014. J Natl Compr Canc Netw, 2014, 12(6): 853-862.
15. CSCO胃腸間質瘤專家委員會. 中國胃腸間質瘤診斷治療共識(2013 年版). 臨床腫瘤學雜志, 2013, 18(11): 1025-1032.
16. Hsiao CY, Yang CY, Lai IR, et al. Laparoscopic resection for large gastric gastrointestinal stromal tumor (GIST): intermediate follow-up results. Surg Endosc, 2014, 3(5): 879-881.
17. Kasetsermwiriya W, Nagai E, Nakata K, et al. Laparoscopic surgery for gastric gastrointestinal stromal tumor is feasible ir-respective of tumor size. J Laparoendosc Adv Surg Tech A, 2014, 24(3): 123-129.

Chinese Journal of Evidence-Based Medicine

Assessment of quality of life after laparoscopic versus open surgery for gastric stromal tumor patients

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