[Clinical analysis of 36 cases of XXXX ].

@entity1 @entity788 @entity260 @entity3472 @entity674 @entity1320 @entity130
OBJECTIVE: To review the clinical features of @entity674 (GISTs), and to compare the clinical efficacy among different surgical treatments for duodenal GISTs. METHODS: Clinicalpathological data of 36 cases of duodenal GISTs undergoing operation in The First Affiliated Hospital of Sun Yat-sen University from January 2000 to July 2013 were retrospectively analyzed. All the @entity1 received surgical treatments, including 15 cases with regional resection, 8 cases with segmental resection, 12 cases with pancreaticoduodenectomy (PD), and 1 case with liver biopsy, respectively. Clinical efficacy between pancreaticoduodenectomy (PD) and non-PD (NPD) was compared. RESULTS: Nine of 36 cases (25%) developed @entity260 who were all in the PD group. Eight @entity1 recovered and healed finally after active treatment, and 1 case was complicated with acute @entity788 , @entity3472 and @entity1320 . The median follow-up time was 54 months and the 5-year overall survival(OS) rate and 5-year recurrence-free survival (RFS) rate were 78.1% and 72.1%, respectively. The 5-year OS rate in the PD group and the NPD group was 61.1% and 61.1% respectively. The 5-year RFS rate in the PD group and the NPD group was 85.8% and 78.8% respectively. Statistical analysis showed no significant difference between the both groups(P=0.71 and P=0.89). CONCLUSIONS: For duodenal GISTs @entity1 , regional resection and segmental resection have similar clinical outcomes to pancreaticoduodenectomy while the former two can obviously decrease the incidence of @entity260 . Based on the premise of R0 resection guaranteed, regional sectional and segmental resection with @entity130 should be the surgical treatment of choice.
