Department of General Surgery, Ruijin Hospital, Shanghai Jiaotong University School of Medicine, Shanghai, China.
J Dig Dis. 2011 Dec;12(6):443-7. doi: 10.1111/j.1751-2980.2011.00536.x.
To compare the efficacy of laparoscopically assisted and open resections in treatment of small bowel stromal tumors (SBST).
A retrospective study of 85 patients who underwent curative resections for SBST (38 by laparoscopically assisted procedures and 47 by open procedures) was performed.
There were no differences between open and laparoscopically assisted approaches in terms of patients' age, gender, presenting symptoms, histological risk or extent of resection (P > 0.05). The median tumor size for laparoscopically assisted resections was 4.0 cm (range 1.2-7.0 cm), which was the same as that for the open resections (range 2.0-10.0 cm). There were fewer complications in the laparoscopic group than those in the open resection group (7.9% vs 17.0%), but no significant difference was observed (P > 0.05). The 2-year survival of the two patient groups was almost the same (86.8% vs 89.4%). Laparoscopically assisted procedures required on average 22.5 min less of operating time (87.5 min vs 110.0 min, P = 0.006), 1.0 day less of bowel recovery time (3.0 days vs 4.0 days, P = 0.001) and 5.0 days less in hospital stay (8.0 days vs 13.0 days, P < 0.001).
Laparoscopically assisted resection of SBST is a safe alternative to open resection.
比较腹腔镜辅助与开放手术治疗小肠间质瘤（SBST）的疗效。
对 85 例行 SBST 根治性切除术的患者进行回顾性研究（腹腔镜辅助手术 38 例，开放手术 47 例）。
腹腔镜辅助组与开放组在患者年龄、性别、临床表现、组织学风险或切除范围方面无差异（P>0.05）。腹腔镜辅助组的中位肿瘤直径为 4.0cm（范围 1.2-7.0cm），与开放组相同（范围 2.0-10.0cm）。腹腔镜组的并发症少于开放组（7.9%比 17.0%），但差异无统计学意义（P>0.05）。两组患者的 2 年生存率几乎相同（86.8%比 89.4%）。腹腔镜辅助组的手术时间平均减少 22.5 分钟（87.5 分钟比 110.0 分钟，P=0.006），肠道恢复时间平均减少 1.0 天（3.0 天比 4.0 天，P=0.001），住院时间平均减少 5.0 天（8.0 天比 13.0 天，P<0.001）。
腹腔镜辅助 SBST 切除术是开放手术的一种安全替代方法。
