Endoscopic super-minimally invasive vs laparoscopic wedge resection for muscularis-propria-originating extraluminal gastric tumors: Efficacy and selection

doi:10.4240/wjgs.v18.i4.116371

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World Journal of Gastrointestinal Surgery

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1948-9366

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Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA

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Copyright: ©Author(s) 2026. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution-NonCommercial (CC BY-NC 4.0) license. No commercial re-use. See permissions. Published by Baishideng Publishing Group Inc.

World J Gastrointest Surg. Apr 27, 2026; 18(4): 116371
Published online Apr 27, 2026. doi: 10.4240/wjgs.v18.i4.116371

Table 2 Comparative analysis of surgical indicators, health economics indicators, efficacy evaluation indicators, and postoperative medical management

	EFR group (n = 98)	STER group (n = 99)	LMIS group (n = 345)	H/χ² value	P value
Surgical indicators
Operative times [M (Q1, Q3), minutes]	44.5 (27.0, 78.0)	59.5 (33.0, 91.0)	87.0 (60.0, 115.0)	73.33	< 0.001
Blood loss [M (Q1, Q3), mL]	5.0 (3.0, 8.0)	3.0 (2.0, 5.0)	20.0 (10.0, 50.0)	251.67	< 0.001
Health economics indicators
Hospital stay [M (Q1, Q3), days]	8.0 (7.0, 9.0)	8.0 (7.0, 9.0)	9.0 (7.0, 11.0)	6.53	0.038
Surgical costs [M (Q1, Q3), CNY]	16753.4 (12914.0, 24603.0)	13963.0 (9477.1, 16944.6)	25127.8 (19532.8, 32571.5)	139.62	< 0.001
Surgical costs [M (Q1, Q3), USD]	2435.1 (1877.0, 3576.0)	2029.5 (1377.4, 2462.9)	3652.2 (2839.1, 4734.2)	139.62	< 0.001
Efficacy evaluation indicators
Overall postoperative adverse event incidence, n (%)	34 (34.7)	49 (49.5)	2 (0.6)	171.89	< 0.001
Postoperative abdominal pain incidence, n (%)	13 (13.3)	26 (26.3)	1 (0.3)	81.98	< 0.001
Postoperative fever incidence, n (%)	28 (28.6)	42 (42.4)	0 (0.0)	149.17	< 0.001
Postoperative hematemesis or melena incidence, n (%)	2 (2.0)	2 (2.0)	0 (0.0)	8.15	0.017
Postoperative medical management
Duration of nasogastric tube placement [M (Q1, Q3), days]	0.0 (0.0, 4.0)	0.0 (0.0, 0.0)	1.0 (1.0, 3.0)	89.92	< 0.001
Method of PPI administration, n (%)				117.26	< 0.001
No	1 (1.0)	0 (0.0)	10 (2.9)
Intravenous drip	66 (67.3)	81 (81.8)	335 (97.1)
Intravenous pumping	31 (31.6)	18 (18.2)	0 (0)
PPI use duration [M (Q1, Q3), days]	6.0 (5.0, 7.0)	6.0 (5.0, 7.0)	4.0 (3.0, 5.0)	148.95	< 0.001
Types of anti-infective agents, n (%)				374.83	< 0.001
No	1 (1.0)	0 (0.0)	3 (0.9)
Monotherapy with a first-line or second-line antimicrobial	33 (33.7)	18 (18.2)	332 (96.2)
Combination therapy with metronidazole for anaerobic coverage	47 (48.0)	71 (71.7)	0 (0.0)
Escalation to higher-level antimicrobials	17 (17.3)	10 (10.1)	10 (2.9)
Duration of antimicrobial treatment [M (Q1, Q3), days]	5.0 (4.0, 6.0)	5.0 (4.0, 6.0)	4.0 (3.0, 5.0)	68.45	< 0.001
Time to resume oral intake [M (Q1, Q3), days]	6.0 (5.0, 7.0)	5.0 (4.0, 6.0)	2.0 (1.0, 3.0)	283.10	< 0.001

CNY: Chinese yuan; USD: United States dollar; PPI: Proton pump inhibitor; EFR: Endoscopic full-thickness resection; STER: Submucosal tunneling endoscopic resection; LMIS: Laparoscopic minimally invasive surgery.

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Citation: Wang LH, Wu X, Sun YT, Liu PF, Wang JF, Yuan YQ, Li HK, Linghu EQ, Chen QQ. Endoscopic super-minimally invasive vs laparoscopic wedge resection for muscularis-propria-originating extraluminal gastric tumors: Efficacy and selection. World J Gastrointest Surg 2026; 18(4): 116371
URL: https://www.wjgnet.com/1948-9366/full/v18/i4/116371.htm
DOI: https://dx.doi.org/10.4240/wjgs.v18.i4.116371

Wang LH, Wu X, Sun YT, Liu PF, Wang JF, Yuan YQ, Li HK, Linghu EQ, Chen QQ. Endoscopic super-minimally invasive vs laparoscopic wedge resection for muscularis-propria-originating extraluminal gastric tumors: Efficacy and selection. World J Gastrointest Surg 2026; 18(4): 116371 [DOI: 10.4240/wjgs.v18.i4.116371]

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