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胃肠间质瘤是一种间叶源性肿瘤,其中以胃起源的最为常见,约占40%~70%[1],以腹腔种植及血行转移为主,很少淋巴结转移,对放疗和化疗均不敏感,手术切除是目前最好的治疗方法,切除在于完整。一般胃底间质瘤直径≤5cm且距贲门有一定距离者可行胃楔形切除;对于距胃贲门<3 cm或肿瘤直径>5cm以行近端胃大部切除为好[2]。因近端胃切除同时切断了迷走神经干,降低了术后胃的泌酸、运动及贮存功能,致术后出现胃排空障碍和胃潴留,返
Gastrointestinal stromal tumors are mesenchymal tumors, of which the most common form of gastric origin, accounting for about 40% to 70% [1], mainly to peritoneal implantation and hematogenous metastasis, little lymph node metastasis, radiotherapy and Chemotherapy are not sensitive, surgical removal is the best treatment, removal is complete. General gastric stromal tumor diameter ≤ 5cm and a certain distance from the cardia gastric wedge resection feasible; from the stomach cardia <3 cm or tumor diameter> 5cm line proximal gastrectomy is better [2]. Due to proximal gastrectomy at the same time cut off the vagus nerve trunk, reducing postoperative gastric acid secretion, exercise and storage function, resulting in postoperative gastric emptying and gastric retention, return