腹腔镜联合胃镜在36例胃间质瘤手术中的应用

Laparoscopy combined with gastroscopy for treating gastric stromal tumors:report of 36 cases

目的总结腹腔镜联合胃镜术中定位治疗胃间质瘤（GSTs）的经验。方法 36例诊断为GSTs（直径小于或等于5cm）的患者应用腹腔镜联合胃镜术中定位技术,分别行胃腔外锲形切除术、经胃腔肿瘤外翻切除术、胃部分切除术等。结果 36例均在双镜联合下顺利找到肿瘤并成功行局部切除,术后胃动力障碍1例,下肢深静脉血栓2例。手术时间50~140 min,术中岀血20~220 mL,术后4~5 d进流质饮食,平均住院时间8.3 d。结论应用腹腔镜联合胃镜定位治疗GSTs具有定位准确、手术时间短、创伤小、恢复快等优点,具有较好的临床实用价值。

Objective To summarize the therapeutic experience of laparoscopy combined with gastroscopy for treating gastric stromal tumors（GSTs）.Methods 36 patients with GSTs received wedge resection,gastric tumor-everting resection and partial gastrectomy according to the location of tumor in laparoscopy combined with gastroscopy.Results 36 cases of GSTs were locally resected under laparoscopy combined with gastroscopy successfully,there were 1 case of gastric motility disorder and 2 cases of lower limb deep venous thrombosis after operations.The operation time ranged from 50 to 140 min,blood loss during operation procedure was 20-220 mL.All patients were able to have liquid food within 4-5 d after operation.The average postoperation hospital stay was 8.3 d.Conclusion This procedure using laparoscopy combined with gastrocopy for treating GSTs is reliable and effective in clinical application,due to the advantages of accurate and quick localization of tumor,short operation time,and minimal injury to patients and fast recovery.