腹腔镜下胃良性肿瘤楔形切除术

Laparoscopic wedge resection of benign gastric tumor.

作者信息

Cheng H L, Lee W J, Lai I R, Yuan R H, Yu S C

机构信息

Department of Surgery, National Taiwan University Hospital, Taipei.

出版信息

Hepatogastroenterology. 1999 May-Jun;46(27):2100-4.

PMID:10430405

Abstract

BACKGROUND/AIMS: In the past 2 years, 9 patients diagnosed as benign gastric tumor pre-operatively underwent laparoscopic wedge resection of stomach at National Taiwan University Hospital. Among them, 6 were females and 3 were males.

METHODOLOGY

Histopathologically, 7 of 9 cases were of gastrointestinal stromal tumor (GIST). The clinical characteristics of this group were retrospectively reviewed and compared with another 12 cases of benign gastric tumor receiving open wedge resection in the same period.

RESULTS

There were no differences in sex, age, and pre-operative diagnosis in these two groups. It took a significantly longer operation time in the laparoscopic group than it did in the open group (205.71 vs. 97.5 min, p<0.05). However, the patients of the laparoscopic group started post-operative oral intake earlier (4.0 vs. 5.58 days, p<0.05), had shorter hospital stays (6.67 vs. 10.77 days, p<0.05), and lower analgesic usage rate (55% vs. 100%). There were no differences in operative complication rates.

CONCLUSIONS

Laparoscopic resection of benign-gastric tumor is recommended as a minimally invasive procedure.

摘要

背景/目的：在过去两年中，9例术前诊断为良性胃肿瘤的患者在台湾大学医院接受了腹腔镜胃楔形切除术。其中，女性6例，男性3例。

方法

组织病理学检查显示，9例中有7例为胃肠道间质瘤（GIST）。回顾性分析该组患者的临床特征，并与同期接受开放楔形切除术的另外12例良性胃肿瘤患者进行比较。

结果

两组患者在性别、年龄和术前诊断方面无差异。腹腔镜组的手术时间明显长于开放组（205.71对97.5分钟，p<0.05）。然而，腹腔镜组患者术后开始经口进食更早（4.0对5.58天，p<0.05），住院时间更短（6.67对10.77天，p<0.05），镇痛使用率更低（55%对100%）。手术并发症发生率无差异。