Abstract:Objective To evaluate the application value of laparoscopic resection with a subsidiary mini-incision in patients with gastric fundus-cardiac tumors. Methods The clinical data of 189 patients with gastric fundus- cardiac tumors operated with four different methods from June 2014 to June 2017 were retrospectively analyzed. All patients were divided into mini-incision group with laparoscopic resection with a subsidiary mini-incision(n=43), laparoscopic group (n=37), gastroscope group with resection under electronic endoscopy (n=58) and laparotomy group(n=51). The general data (sex, age, tumor size and location, history of stomach diseases and preoperative upper gastrointestinal symptoms) and the indexes of prognosis (operation time, intraoperative blood loss, postoperative pain score, postoperative forbidden drinking and exhaust time, postoperative complications, postoperative hospital stay, unplanned reoperation and readmission rates) were compared among four groups. Results There were no statistical differences in the general data (all P>0.05). There were significant differences in operation time (P=0.000), intraoperative blood loss(P=0.000), postoperative pain score(P=0.006) , postoperative forbidden drinking time (P=0.000) , postoperative hospital stay(P=0.000)between mini-incision group and gastroscope group; there were significant differences in operation time (P=0.001), postoperative pain score(P=0.000), postoperative exhaust time(P=0.000) and postoperative hospital stay(P=0.018) between mini-incision group and laparotomy group; there were significant differences in postoperative complications (P=0.015) and unplanned reoperation and readmission rates(P=0.008) between mini-incision group and laparoscopic group. Conclusion Laparoscopic surgery with a subsidiary mini-incision has the advantages of simple operation, small trauma, less postoperative complications.