完全腹腔镜手术联合术中经口腔取出标本法治疗胃间质瘤

目的 探讨完全腹腔镜手术联合术中经口腔取出标本法治疗胃间质瘤的临床应用.方法 回顾性分析了2007年1月至2009年8月期间在我院诊断为胃间质瘤并在完全腹腔镜下切除间质瘤后经口腔取出标本方法治疗的20例患者的手术方法及术后情况.结果 所有患者成功完成手术,无中转开腹,手术时间(110±35) min,术中出血(60±15) ml,术后住院时间(6.5±1.2)d.无术后并发症出现,随访(1.8±0.2)年(0.5～2.5年),19例患者无复发；1例患者复发,再次行腹腔镜下近端胃大部分切除术.结论 完全腹腔镜手术联合术中经口腔取出标本法治疗胃间质瘤其解剖清楚,出血少,从本研究有限病例初步得出本术式安全、可行,且微创.

Totally Laparoscopic Surgery Combined with Intraoperative Removed Specimen Through Oral in Treatment for Gastric Stromal Tumor

Objective To discuss the clinical application of totally laparoscopic surgery combined with intraoperative removed the specimen through the oral in treatment for gastric stromal tumor.MethodsThe clinical data of 20 patients diagnosed gastric stromal tumor and performed totally laparoscopic surgery combined with intraoperative removed the specimen through the oral in treatment for gastric stromal tumor from January 2007 to August 2009 in our hospital were analyzed retrospectively.Results All the cases were performed successfully laparoscopic operation.The operation time was(110±35) min,intraoperative bleeding was(60±15) ml,postoperative hospital stay was(6.5±1.2) d.No postoperative complications occurred.There were 19 cases no relapse during 0.5-2.5 years with(1.8±0.2) years of follow-up.One patient with recurrence was performed the laparoscopic proximal subtotal gastrectomy.ConclusionsTotally laparoscopic surgery combined with intraoperative removed the specimen through the oral in treatment for gastric stromal tumor is safe,feasible,and minimally invasive for patients due to its clearness of dissection,less bleeding,and removed the specimen through natural channel.