论文部分内容阅读
目的:探讨腹腔镜技术在胃间质瘤手术治疗中的临床应用价值。方法:回顾性分析2004年6月至2011年1月我院行腹腔镜胃间质瘤切除术68例病人的临床资料。包括手术时间、术中出血量、术后排气时间、术后住院天数、并发症、术后病理和随访等。结果:本组研究68例病人中,均在腹腔镜下顺利完成手术。腹腔镜胃楔形切除术34例(50%),腹腔镜经胃肿瘤外翻切除术32例(47.1%),腹腔镜辅助远端胃大部切除术1例(1.47%),腹腔镜辅助近端胃大部切除术1例(1.47%)。瘤体平均直径(3.2±1.6)cm,手术平均时间(83.0±27.5)min,术后平均出血量(29.0±23.7)mL,术后平均住院天数(7.5±1.4)d。并发症3例(4.4%),随访63例(92.6%),中位随访时间27个月,63例均无复发及远处转移,1例术后其他原因死亡。总生存率98.5%。结论:腹腔镜手术是治疗胃GIST安全、微创、有效的方法。
Objective: To investigate the clinical value of laparoscopy in the surgical treatment of gastric stromal tumors. Methods: The clinical data of 68 patients who underwent laparoscopic gastric stromal tumor resection in our hospital from June 2004 to January 2011 were retrospectively analyzed. Including the operation time, intraoperative blood loss, postoperative exhaust time, postoperative hospital days, complications, postoperative pathology and follow-up. Results: The group of 68 patients, laparoscopic surgery were completed successfully. Laparoscopic resection of gastric gastrectomy in 34 cases (50%), laparoscopic resection of gastric tumor in 32 cases (47.1%), laparoscopic assisted distal gastrectomy in 1 case (1.47%), laparoscopic assisted approach One case (1. 47%) of maxillofacial resection. The mean diameter of tumor was (3.2 ± 1.6) cm. The average operation time was 83.0 ± 27.5 min. The average postoperative bleeding volume was 29.0 ± 23.7 mL. The average postoperative hospital stay was 7.5 ± 1.4 days. Three patients (4.4%) were followed up, 63 patients (92.6%) were followed up for a median follow-up of 27 months. There were no recurrences and distant metastases in 63 patients, and 1 patient died after other causes. The overall survival rate was 98.5%. Conclusion: Laparoscopic surgery is a safe, minimally invasive and effective method for the treatment of gastric GIST.