摘要
目的评估腹腔镜手术切除可疑胃肠间质瘤的应用价值。方法回顾性的分析我科2003年5月至2008年10月,术前怀疑胃肠间质瘤50例,年龄27-78岁。38例术前(胃镜或超声内镜)诊断为胃粘膜下肿物。12例(小肠内镜)诊断为小肠肿瘤。所有病例完成腹腔镜手术治疗,主要从手术时间,术中出血,术后排气时间,术后并发症,术后开始进食时间,病理切缘,术后住院时间,死亡率等方面评价腹腔镜手术切除效果。结果50例均行完成腹腔镜手术切除,手术时间(90.84±26.69)min;估计术中出血(EBL)(57.80±67.48)ml;术后(50.90±18.87)h排气;术后(2.94±0.79)d开始进食,术后住院时间(8.62±3.56)d;术后无出现严重并发症;无死亡病例,胃肠间质瘤病例的病理切缘阴性。结论腹腔镜手术切除术前诊断可疑间质瘤的肿瘤,具有微创、出血少、术后恢复快,达到R0切除、无严重并发症等优点。
Objective To evaluate the effect of laparoscopic surgery in resection of suspected gastrointestinal stromal tumors.Methods A retrospective analysis was conducted among 50 patients with suspected gastrointestinal stromal tumors.All the patients underwent laparoscopic tumor resection.Thirty-eight of the patients had a preoperative diagnosis of gastric submucosa tumor by gastroscopy,and 12 had a diagnosis of small intestinal tumor by small intestinal endoscopy.The surgical procedure,operative time,estimated bl...
出处
《南方医科大学学报》
CAS
CSCD
北大核心
2009年第7期1423-1425,共3页
Journal of Southern Medical University
基金
广东省科技计划项目(2006B12901006)
关键词
腹腔镜
胃肠间质瘤
手术切除
laparoscopy
gastrointestinal stromal tumors
surgical resection
