胃肠道间质瘤的胃内切除术
Endogastric resection of gastrointestinal stromal tumor.
作者信息
Herbella Fernando A M, Tamasauskas Iuri, Moura Eduardo G H
机构信息
Department of Surgery, Escola Paulista de Medicina, Federal University of Sao Paulo, Sao Paulo, SP, Brazil.
Sao Luiz Hospital, Sao Paulo, SP, Brazil.
出版信息
J Vis Surg. 2016 Sep 23;2:161. doi: 10.21037/jovs.2016.09.07. eCollection 2016.
Gastric gastrointestinal stromal tumors (GIST) have a distinct surgical therapy compared to gastric adenocarcinoma. Large oncologic margins and lymphadenectomy are not necessary rendering local resections suitable to treat the disease and spare the stomach. That may be accomplished through a minimally invasive approach. We present a case of a 67-year-old woman with an endophytic 3.5 cm gastric GIST located in the posterior wall of the gastric body that underwent an endogastric resection. Operation was uneventful. The patient was discharged in the following day. Pathologic examination showed free margins and a low grade GIST. Endogastric resection is a feasible option in endophytic GISTs located in the posterior wall of the stomach.
与胃腺癌相比，胃胃肠道间质瘤（GIST）有独特的手术治疗方式。不需要大的肿瘤切缘和淋巴结清扫，局部切除就适合治疗该疾病并保留胃。这可以通过微创方法来实现。我们报告一例67岁女性，其胃体后壁有一个3.5 cm内生性胃GIST，接受了经胃内切除术。手术顺利。患者于次日出院。病理检查显示切缘阴性且为低级别GIST。经胃内切除术是位于胃后壁的内生性GIST的一种可行选择。
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