腹腔镜与胃镜联合治疗胃间质瘤

Treatment of gastric stromal tumor by a combined laparo- scopic and gastroscopic approach

腹腔镜与内镜联合手术充分发挥了硬镜和软镜的各自优势，弥补了单一腹腔镜或内镜治疗的不足，进一步拓展了微创外科技术的应用范围。目前，腹腔镜与胃镜或者肠镜联合应用治疗胃肠道良性病变和早期癌症在技术上已日趋成熟，并取得了良好的效果。

The combination of laparoscopy and gastros- copy makes up the defects of each of them when used alone, and further extends the application range of minimally invasive tech- niques. A 53-year-old patient with gaslric stromal tumor was admitted to the Tenth People＇s Hospital of Tongji University on March 4, 2011. The result of gastroseopy showed that the tumor was at anterior wall of stomach with a size of 3.0 cm x 3.5 cm. the result of CT scan preliminarily diagnosed the patient with gastric stromal tumor. Partial gastreetomy with laparoscopy com- bined with gastroscopy was applied to the patient on March 9, 2011. The operation time was 32 minutes and the blood loss was 10 ml. The duration of hospital stay was 4 days, and no postoperative complication occurred. Laparoscopy combined with gastroscopy for the treatment of gastric stromal tumor is feasible and safe with a favorable short-term outcome.