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目的分析腹腔镜辅助经胃腔治疗贲门部内生型胃肠间质瘤的临床疗效,探讨其安全性、可行性及临床应用价值。方法回顾性分析2014年6月至2016年3月广东省人民医院9例行腹腔镜辅助经胃腔治疗贲门部内生型胃肠间质瘤病人的临床资料。结果 9例病人均顺利完成手术,无中转开腹,手术时间59~104 min,术中出血量5~65 m L。经术后病理学检查均确诊为胃肠间质瘤。术后胃肠道恢复时间1~4 d,进食时间2~4 d,引流管留置时间3~4 d,出院时间为术后4~6 d;无术后出血、吻合口瘘、贲门狭窄等并发症。所有病人术后均未出现吞咽障碍及反酸症状,随访均未出现复发及转移迹象。结论腹腔镜辅助经胃腔治疗贲门部内生型胃肠间质瘤安全、可行,但该术式对腹腔镜操作技术要求高,需谨慎开展。
Objective To analyze the clinical efficacy of laparoscopic assisted intragastric treatment of cardia endogenous gastrointestinal stromal tumors and to investigate its safety, feasibility and clinical value. Methods The clinical data of 9 patients with endometrial gastrointestinal stromal tumors of cardia department who underwent laparoscopy assisted by the gastric cavity during June 2014 to March 2016 in our hospital were retrospectively analyzed. Results All the 9 patients completed the operation successfully without conversion to laparotomy. The operation time was 59-104 minutes and the intraoperative blood loss was 5-65 m L. Postoperative pathological examination were diagnosed as gastrointestinal stromal tumors. Postoperative gastrointestinal recovery time 1 ~ 4 d, feeding time 2 ~ 4 d, drainage tube indwelling time 3 ~ 4 d, discharge time was 4 ~ 6 d after surgery; no postoperative bleeding, anastomotic fistula, cardia stenosis complication. No swallowing and acid reflux occurred in all the patients, and no signs of recurrence and metastasis were observed. Conclusions Laparoscopic assisted intragastric treatment of cardia endogenous gastrointestinal stromal tumors safe and feasible, but the surgical requirements of laparoscopic techniques require high care needs to be carried out.