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[腹腔镜下胃间质瘤切除术:附30例报告]

[Laparoscopic resection of gastric stromal tumors: report of 30 cases].

作者信息

Qian Feng, Yu Pei-Wu, Wang Zi-Qiang, Liu Bing

机构信息

Department of General Surgery, Center of Microinvasive Gastrointestinal Surgery, Southwest Hospital, The Third Military Medical University, Chongqing 400038, China.

出版信息

Zhonghua Wei Chang Wai Ke Za Zhi. 2007 Jan;10(1):33-4.

PMID:17253170
Abstract

OBJECTIVE

To investigate the treatment efficacy of laparoscopic resection of gastric stromal tumors.

METHODS

The clinical data of 30 patients with laparoscopic resection of gastric stromal tumors from Apr. 2004 to Apr. 2006 were retrospectively analyzed.

RESULTS

The preoperative diagnosis of gastric stromal tumors mainly relied on gastroscope, ultrasound gastroscope, barium meal and abdominal CT scan. Tumor size ranged from 2 to 10 cm. Surgical procedures included laparoscopic wedge resection for 22 patients, laparoscopic distal gastrectomies for 6 patients, and laparoscopic proximal gastrectomies for 2 patients. All operations were successful, with an average operation time of 120+/-35 min and a blood loss of 5-200 ml. Postoperative length of stay was 4-10 days. No recurrence had occurred during 3-24 months follow-up.

CONCLUSION

Laparoscopic resection of gastric stromal tumors is a safe and reliable procedure, with quick postoperative recovery and minimal invasion.

摘要

目的

探讨腹腔镜切除胃间质瘤的治疗效果。

方法

回顾性分析2004年4月至2006年4月30例行腹腔镜切除胃间质瘤患者的临床资料。

结果

胃间质瘤的术前诊断主要依靠胃镜、超声胃镜、钡餐及腹部CT扫描。肿瘤大小为2至10厘米。手术方式包括22例行腹腔镜楔形切除术,6例行腹腔镜远端胃切除术,2例行腹腔镜近端胃切除术。所有手术均成功,平均手术时间为120±35分钟,出血量为5至200毫升。术后住院时间为4至10天。随访3至24个月无复发。

结论

腹腔镜切除胃间质瘤是一种安全可靠的手术方法,术后恢复快,创伤小。

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