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目的评价腹腔镜微创外科治疗胃间质瘤的临床价值。方法回顾性分析2005年3~10月经腹腔镜行包括肿瘤在内的胃部分切除术治疗的17例胃间质瘤的临床和病理资料。结果17例病人行腹腔镜下胃肿瘤切除术,平均手术时间(65±12)min,无并发症出现,平均住院时间5·3d。病理结果:极低风险4例,低度风险8例,中度风险4例,高度风险1例。随访1~6个月,无复发及转移。结论腹腔镜下胃局部切除治疗胃间质瘤是安全可行的。
Objective To evaluate the clinical value of laparoscopic minimally invasive surgical treatment of gastric stromal tumors. Methods The clinical and pathological data of 17 cases of gastric stromal tumors treated by laparoscopic partial tumor resection including laparoscopy were retrospectively analyzed from March to October in 2005. Results Seventeen patients underwent laparoscopic gastric resection. The average operation time was 65 ± 12 min. No complications occurred and the average length of stay was 5. 3d. Pathological findings: 4 cases had very low risk, 8 cases had low risk, 4 cases had moderate risk and 1 case had high risk. Follow-up 1 ~ 6 months, no recurrence and metastasis. Conclusion Laparoscopic partial gastrectomy for the treatment of gastric stromal tumors is safe and feasible.