腹腔镜胃基质瘤切除术：附32例报告

目的:探讨腹腔镜胃基质瘤切除术的临床应用价值。方法:回顾性总结32例采用腹腔镜方法治疗胃基质肿瘤患者的临床资料。肿瘤直径1.5~5.5 (平均2.6) cm。手术方式主要为腹腔镜下胃肿瘤切除术、腹腔镜辅助和手助腹腔镜下胃肿瘤切除术。结果:32例均手术均顺利完成。平均手术时间75min，术中平均出血50mL。术后疼痛轻微，术后排便、排气时间平均为34h，术后平均住院天数为7.5d。术后病理证实25例为良性基质瘤， 7例为低度恶性基质瘤。随访8~30个月未见复发。结论:腹腔镜下胃基质瘤切除术是一种安全、有效的微创手术方法，值得临床推广应用。

Laparoscopic resection of gastric stromal tumors: a report of 32 cases

Objective To investigate the clinical value of laparoscopic resection of gastric stromal tumors. Methods Thirty-two cases received this new type of operation. The tumors ranged in size from 1.5 to 5.5cm with a mean diameter of 2. 6 cm. The operative methods included the full laparoscopic resection of gastric tumor and the hand-assisted laparoscopic resection of gastric tumor. Results All cases were successfully resected and no complications were observed. The mean operative time was 75 rain. The mean intraoperative blood loss was 50 ml, Postoperative pain was slight, Postoperative flatus and feces were passed at a mean of 34 hours, and average postoperational hospital stay was 7. 5 days. Postoperative pathologic examination confirmed that 25 cases were benign GIST and 7 cases were of low-grade malignancy. No recurrences were observed at follow up of 8 to 30 months. Conclusions Laparoscopic resection of gastric stromal tumor is a technically simple, safe and effective procedure that could be widely used.