摘要
目的探讨腹腔镜联合胃镜手术治疗早期胃间质瘤临床可行性和安全性。方法回顾分析本科2009年1月至2012年12月行腹腔镜联合胃镜手术治疗早期胃间质瘤的22例患者临床资料,其中17例行胃镜辅助下腹腔镜胃楔形切除术,5例在胃镜辅助下行腹腔镜胃腔内肿瘤切除术。结果 22例患者均完成手术,无中转开腹和手术并发症发生。手术时间(80±25)min、术中出血量(25±10)ml,术后8～36小时恢复胃肠功能,48～72小时进流质饮食,术后住院时间(5±2)d,切除的肿瘤直径为1.0～4.5 cm,术后免疫组化结果:CD117阳性21例(95.4%),CD34阳性16例(72.7%),其中极低危14例,低危6例,中危2例,无高危病例。结论腹腔镜联合胃镜手术治疗早期胃间质瘤安全可行。
Objective To investigate the feasibility and safety of gastroscopic-assisted laparoscopic resection in treatment of early gastric stromal tumors. Methods The clinical data of 22 patients with early gastric stromal tumors treated with gastroscopic-assisted laparoscopic resection from January, 2009 to December, 2012 were analyzed. Seventeen patients were treated bygastroscopic-assisted laparoscopic wedge resection. Five patients were treated by gastroscopic-assisted laparoscopic transluminal resection. Results All the operations were successful,and no peritoneotomy conversion and complicationoccurred. The operation time was （80 ± 25） min, the blood loss during operation was （25 ± 10） ml, Intestinal tract function recovery timewere 8 -36 hours and liquid diet were taken on 48 - 72 hours after surgery, and the postoperative hospital stay was （ 5 ± 2 ） d. The resected tumor was 1.0 to 4.5 cm in diameter. The immunohistochemical results showed that 21 patients were CD117-positive （95.4%） and 16patientswere CD34-positive （72.7%） . There were ld patients with extremely low risk, 6 patients with low risk, 2 patients with middle risk and no patient with high risk. Conclusions Gastroscopic-assisted laparoscopic resection in treatment of early gastric stromaltumors is safe and feasible, but its long-term effect need to be further analyzed.
出处
《齐齐哈尔医学院学报》
2013年第6期814-815,共2页
Journal of Qiqihar Medical University
关键词
腹腔镜
胃镜
早期胃间质瘤
Laparoscopy
Gastroscopy
Early stomach stromal tumors
