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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。
Objective To investigate the clinical application of complete laparoscopic surgery combined with intraoperative oral removal of specimens for the treatment of gastric stromal tumors. Methods A retrospective analysis was conducted on the surgical methods and techniques of 20 patients who were diagnosed as gastric stromal tumors in our hospital and underwent complete laparoscopic resection of the stromal tumor after oral removal of the specimens during the period from January 2007 to August 2009 After the situation. Results All the patients underwent surgery successfully without transit to open laparotomy. The operation time (110 ± 35) min, intraoperative bleeding (60 ± 15) ml and postoperative hospital stay (6.5 ± 1.2) days were all satisfactory. No postoperative complication occurred. Follow-up (1.8 ± 0.2) years (0.5-5.5 years) showed no recurrence in 19 patients. One patient recurred and underwent laparoscopic resection of the proximal stomach. Conclusions Total laparoscopic surgery with intraoperative oral specimen removal of gastric stromal tumors of its clear anatomy, less bleeding, the limited cases of this preliminary study concluded that the safe, feasible and minimally invasive surgery.