摘要
目的探讨腹腔镜下胃肠道间质瘤切除术的可行性与安全性。方法回顾性分析华中科技大学附属协和医院腹腔镜外科中心于2003年6月~2008年12月间确诊并施行了腹腔镜下胃肠道间质瘤切除术的42例患者临床资料。结果42例患者均成功施行了腹腔镜下间质瘤切除术,其中胃间质瘤32例,小肠间质瘤9例,直肠间质瘤1例,与之相应,手术时间分别为:(68±32)、(80±28)和140min,术中出血为:(50±23)、(80±33)和100mL,术后住院天数为:(6±2.5)、(7±2)和8d。随访3~72个月,1例小肠间质瘤患者复发且伴肝脏转移。结论腹腔镜下胃肠道间质瘤切除术是治疗GIST安全有效的术式选择。
[ Objective ] To evaluate the feasibility and safety of laparoscopic resection of gastrointestinal stromal tumors (GISTs). [Methods] Clinical data of 42 patients being diagnosed as GISTs and undergoing laparoscopic resection between June 2003 and December 2008 were analyzed retrospectively. [ Results ] All the tumors of the patients including 32 gastric GISTs, 9 small bowel GISTs and 1 rectum GIST had been successfully reseeted under laparoscope. The mean operative time was (68±32) min for gastric GISTs, (80±28) min for small bowel GISTs and 140 min for rectum GIST. The mean blood loss was (50±23) mL for gastric GISTs, (80±33) mL for small bowel GISTs and 100 mL for rectum GIST. The mean hospital stay was (6±2.5) days for gastric GISTs, (7±2) days for small bowel GISTs and 8 days for rectum GIST. At a follow-up of 3-72 months, one small bowel GIST had postoperative recurrence and liver metastasis. [ Conclusions ] Laparoseopic resection is a safe and feasible choice of treating GISTs.
出处
《中国内镜杂志》
CSCD
北大核心
2009年第10期1009-1011,1015,共4页
China Journal of Endoscopy
关键词
胃肠道间质瘤
腹腔镜
预后
gastrointestinal stromal tumor
, laparoscope
prognosis