腹腔镜下手术治疗胃间质瘤

目的评价腹腔镜微创外科治疗胃间质瘤的临床价值、安全性及可靠性。方法回顾性分析2007年至2009年经腹腔镜胃部分切除术治疗的16例胃间质瘤患者的临床和病理资料。采用4孔法,手术主要步骤为肿瘤定位、网膜游离、胃壁和脾的分离、食管贲门连接处显露以及切割闭合器楔形切除胃间质瘤。结果 16例患者行腹腔镜下胃部分切除术,平均手术时间(61.3±21.5)min,术中平均出血(49.1±28.6)ml,术后平均住院天数(5.5±0.7)d,81%患者于术后36h内恢复胃肠功能,并开始进食,无并发症出现。随访4个月至3年,无复发及转移。结论腹腔镜下胃部分切除治疗胃间质瘤是安全、简便、可行的,术式的选择应依据肿瘤的大小与位置选择个体化手术方案。

Laparoscopic gastrectomy in the treatment of gastric stromal tumor:a report of 16 cases

Objective To evaluate the safety and feasibility of laparoscopic gastrectomy in the treament of gastric stromal tumor. Methods A retrospective review was performed on 16 patients with gastric stromal tumors （ GST ） who had undergone the treatment from 2007 to 2009. The main surgical procedure was location, separation and inosculate. Results Laparoscopic wedge resection was completed successfully in all 16 patients. The mean operation time was （ 61.3 ± 21.5 ）min,the mean blood loss was （ 49.1 ± 28.6 ）ml,the mean hospital stay was （ 5.5 ± 0.7 ）d. All patients had been followed up for 4 to 36 months, no relapse and metastasis. Conclusions Laparoscopic wedge resection is a safe and feasible procedure for treating gastric stromal tumors.