胃黏膜下肿瘤微创治疗的进展

Minimally invasive surgeries for submucosal tumors of the stomach

胃黏膜下肿瘤经常于胃镜检查中被发现,给诊断及治疗带来了挑战.最值得讨论的胃黏膜下肿瘤为间质瘤,因其为胃肠道最常见的间质性肿瘤.由于胃肠道间质瘤存在潜在恶性的可能,治疗局限胃间质瘤的主要目标是达到边缘阴性的切除,这是一种获得完全治疗的有效方法.微创治疗已经广泛应用在切除胃肠道黏膜下肿瘤方面.随着内镜技术的迅猛发展,内镜下切除为胃黏膜下肿瘤的治疗提供了不同的方案.有些专家还提出了内镜与腔镜的联合治疗.除此以外,机器人切除黏膜下肿瘤也成为可能.本文主要介绍微创治疗胃黏膜下肿瘤的进展.

Suhmucosal tumors（SMTs） of the gastrointestinal tract,which may be an occasional finding on routine upper gastrointestinal（GI） endoscopy,represent a diagnostic and therapeutic challenge.Gastrointestinal stromal tumors（GISTs） are the most common mesenchymal neoplasms of the gastrointestinal tract and have the potential to progress to malignancy.The primary treatment goal for localized GISTs is surgical resection with achievement of a negative margin（RO resection）.This is the effective way to achieve complete treatment.Minimally invasive surgery has become common in the surgical resection of gastrointestinal SMTs.Recent advances in endoscopic technology provide various treatment modalities for gastric SMTs.Moreover,investigators have developed laparoscopic and endoscopic cooperative procedures.In addition,robotic surgery for SMTs is another choice.The purpose of this article is to review recent trends in minimally invasive surgery for gastric SMTs.