经直肠提取标本的腹腔镜下肠间质瘤切除术：一例报告
Laparoscopic resection of intestinal stromal tumors with transrectal extract specimen: A case report.
作者信息
Wang Xuewei, Wang Peng, Su Hao, Liang Jianwei, Zhou Haitao, Zhou Zhixiang
机构信息
Department of Colorectal Surgical Oncology, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, P.R. China.
出版信息
Medicine (Baltimore). 2019 Jul;98(29):e16377. doi: 10.1097/MD.0000000000016377.
RATIONALE
Small intestine stromal tumors (SISTs) are a type of gastrointestinal stromal tumor (GIST) that has an insidious onset. Natural orifice specimen extraction (NOSE) surgery has been gradually developed for the treatment of colorectal, stomach, small intestine, hepatobiliary, and gynecological tumors because of its safety and feasibility. This case study explored the possibility of applying the NOSE method for the treatment of SIST.
PATIENT CONCERNS
A 59-year-old male patient was admitted to the hospital after having an irregular abdominal mass for >1 month that was detected by a medical examination. Thoracic and abdominopelvic enhanced computer tomography revealed irregular masses on the left side of the abdominal cavity.
DIAGNOSIS
Sist.
INTERVENTIONS
Nose (laparoscopic resection of intestinal stromal tumors with transrectal extract specimen and no abdominal auxiliary incision) surgery was performed.
OUTCOMES
The patient underwent operation successfully and recuperates well with no complications.
LESSONS
Nose surgery is minimally invasive, results in patient recuperation with no complications, and is considered to be feasible for SIST treatment.
原理
小肠间质瘤（SISTs）是胃肠道间质瘤（GIST）的一种，起病隐匿。自然腔道标本取出术（NOSE）由于其安全性和可行性，已逐渐发展用于治疗结直肠、胃、小肠、肝胆和妇科肿瘤。本病例研究探讨了应用NOSE方法治疗SIST的可能性。
患者情况
一名59岁男性患者因体检发现腹部有不规则肿块1个月余入院。胸腹部盆腔增强计算机断层扫描显示腹腔左侧有不规则肿块。
诊断
Sist。
干预措施
实施了NOSE（经直肠取出标本的腹腔镜小肠间质瘤切除术且无腹部辅助切口）手术。
结果
患者手术成功，恢复良好，无并发症。
经验教训
NOSE手术微创，患者恢复且无并发症，被认为对SIST治疗可行。
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