de la Fuente Sebastian G, McMahon Ross L, Pickett Lisa Clark, Pappas Theodore N
Department of Surgery, Duke University Medical Center, Durham, North Carolina 27710, USA.
JSLS. 2004 Jan-Mar;8(1):85-7.
Sporadic gastric carcinoid tumors are relatively infrequent malignancies of the stomach. Tumors measuring less than 1 cm can sometimes be safely removed endoscopically; however, larger neoplasias require surgical ablation. The present case report represents a gastric carcinoid tumor laparoscopically resected in a patient with a history of hematemesis. The tumor was first marked endoscopically with India ink, which facilitated subsequent localization of the area to be resected. Laparoscopic resection of the mass was without complication, and the pathology study confirmed the preoperative diagnosis and negativity of the margins. In patients who present with masses that are not amended for endoscopic resection, sporadic gastric carcinoid tumors can be resected laparoscopically.
散发性胃类癌肿瘤是相对少见的胃部恶性肿瘤。直径小于1厘米的肿瘤有时可通过内镜安全切除;然而,较大的肿瘤则需要手术切除。本病例报告呈现了一例有呕血病史的患者经腹腔镜切除的胃类癌肿瘤。该肿瘤首先在内镜下用印度墨水标记,这有助于随后确定待切除区域的位置。腹腔镜下切除肿块无并发症,病理研究证实了术前诊断且切缘阴性。对于那些存在无法通过内镜切除的肿块的患者,散发性胃类癌肿瘤可通过腹腔镜切除。