摘要
目的探讨腹腔镜胃楔形切除治疗胃间质瘤的可行性。方法回顾性分析我院2002年9月~2009年4月腹腔镜胃间质瘤楔形切除术32例(腹腔镜组)和1999年10月~2009年1月开腹胃间质瘤楔形切除术20例(开腹组)的临床资料,比较2组围手术期的情况和预后。结果与开腹组相比,腹腔镜组手术时间短[120 min(23~210 min)vs 145 min(75~400 min),Z=-2.960,P=0.003],术中出血量少[20 ml(5~100 ml)vs 50 ml(10~200 ml),Z=-3.580,P=0.000],术后进食时间早[3 d(1~4 d)vs 3 d(3~21 d),Z=-3.032,P=0.002],术后住院时间短[6 d(4~15 d)vs 8.5 d(6~26 d),Z=-4.202,P=0.000]。腹腔镜组29例随访6~79个月(中位随访时间25个月),开腹组16例随访9~120个月(中位随访时间58个月),均无复发或转移。结论腹腔镜胃间质瘤楔形切除术安全、有效,具有可行性。
Objective To evaluate the feasibility of laparoscopic wedge resection for gastric gastrointestinal stromal tumors.Methods A retrospective comparison was made between laparoscopic(32 cases,performed from September 2002 to April 2009) and open(20 cases,performed from October 1999 to January 2009) wedge resection for gastric gastrointestinal stromal tumors.The pre-intra-and post-operative data of the two groups were compared.Results Compared with the open group,the laparoscopic group presented significantly shorter operation time [120 min(23-210 min) vs 145 min(75-400 min),Z=-2.960,P=0.003],less blood loss [20 ml(5-100 ml) vs 50 ml(10-200 ml),Z=-3.580,P=0.000],earlier recovery of bowel functions [3 d(1-4 d) vs 3 d(3-21 d),Z=-3.032,P=0.002],and shorter postoperative hospital stay[6 d(4-15 d) vs 8.5 d(6-26 d),Z=-4.202,P=0.000].Follow-up observation was carried out in 29 cases in the laparoscopic group for 6-79 months(median,25 months),and in 16 cases in the open group for 9-120 months(median,58 months),respectively.During the periods,no recurrence or metastasis was detected.Conclusion Laparoscopic wedge resection is safe and effective for gastric gastrointestinal stromal tumors.
出处
《中国微创外科杂志》
CSCD
2010年第2期126-129,共4页
Chinese Journal of Minimally Invasive Surgery
关键词
腹腔镜
胃间质瘤
楔形切除
Laparoscopy
Gastric gastrointestinal stromal tumor
Wedge resection