Case Control Study
Copyright ©The Author(s) 2023. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Gastrointest Surg. Aug 27, 2023; 15(8): 1629-1640
Published online Aug 27, 2023. doi: 10.4240/wjgs.v15.i8.1629
Goldilocks principle of minimally invasive surgery for gastric subepithelial tumors
Wei-Jung Chang, Lien-Cheng Tsao, Hsu-Heng Yen, Chia-Wei Yang, Hung-Chi Chang, Chew-Teng Kor, Szu-Chia Wu, Kuo-Hua Lin
Wei-Jung Chang, Lien-Cheng Tsao, Hung-Chi Chang, Kuo-Hua Lin, Department of General Surgery, Changhua Christian Hospital, Changhua 50006, Taiwan
Hsu-Heng Yen, Chia-Wei Yang, Department of Gastroenterology, Changhua Christian Hospital, Changhua 50006, Taiwan
Hsu-Heng Yen, General Education Center, Chienkuo Technology University, Changhua 50006, Taiwan
Hsu-Heng Yen, School of Medicine, Chung Shan Medical University, Taichung 40201, Taiwan
Chew-Teng Kor, Big Data Center, Changhua Christian Hospital, Changhua 50006, Taiwan
Chew-Teng Kor, Graduate Institute of Statistics and Information Science, National Changhua University of Education, Changhua 50007, Taiwan
Szu-Chia Wu, Transplant Medicine & Surgery Research Center, Changhua Christian Hospital, Changhua 50006, Taiwan
Author contributions: Yen HH, Chang HC, and Lin KH designed research; Tsao LC, Yen HH, Yang CW, Chang HC, and Lin KH performed research; Tsao LC, Yen HH, and Kor CT contributed new reagents/analytic tools; Kor CT and Wu SC analyzed the data; Chang WJ and Lin KH wrote the paper.
Institutional review board statement: The study was approved by the Institutional Review Board of Changhua Christian Hospital (approval No. 220117).
Informed consent statement: This retrospective study had a waiver of informed consent due to retrospective nature.
Conflict-of-interest statement: The authors declare that they have no conflict of interest.
Data sharing statement: No additional data are available.
STROBE statement: The authors have read the STROBE Statement—checklist of items, and the manuscript was prepared and revised according to the STROBE Statement—checklist of items.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Kuo-Hua Lin, MD, Surgeon, Department of General Surgery, Changhua Christian Hospital, No. 135 Nanxiao Street, Changhua 50006, City, Changhua County, Taiwan. khlin120380@gmail.com
Received: April 26, 2023
Peer-review started: April 26, 2023
First decision: May 25, 2023
Revised: June 6, 2023
Accepted: July 4, 2023
Article in press: July 4, 2023
Published online: August 27, 2023
Processing time: 121 Days and 3.3 Hours
Core Tip

Core Tip: Multidisciplinary teamwork leads to the adoption of different strategies for resection of gastric subepithelial tumors: Endoscopic resection (ER) was indicated for a smaller tumor and intraluminal growth, whereas laparoscopic resection was indicated for a larger tumor (optimal cut-off point: 2.15 cm), tumors located in the middle or lower third of the stomach, exophytic growth, and more aggressive malignancy behavior. Backup surgery is preserved for incomplete ER to effectively reduce associated morbidities.