腹腔镜手术治疗胃胃肠间质瘤疗效分析

Analysis of laparoscopic surgery for gastric gastrointestinal stromal tumor

目的探讨腹腔镜手术治疗胃胃肠间质瘤(GIST)的可行性。方法回顾性分析2009年1月至2014年1月间,在我院接受腹腔镜手术治疗的27例胃胃肠间质瘤患者的临床资料,并统计具体手术方式,手术时间,术中出血量,手术切口长度,肿瘤大小及住院时间。结果根据胃肿瘤大小和部位选择不同手术方式,其中胃局部切除术病人20例,远端胃大部切除术5例,全胃切除术2例。其中胃局部切除术20人均在完全腹腔镜下完成,其余7例病人行腹腔镜辅助切除手术。手术时间81.3±16.2 min,术中出血量42.1±9.2 m L,手术切口长度5.6±2.4 cm,肿瘤直径4.8±1.3 cm,住院时间7.5±2.6 d。结论腹腔镜手术治疗胃胃肠间质瘤安全可行、恢复快。

Objective To investigate the feasibility of laparoscopic resection of gastric gastrointestinal stromal tumor（GIST）. Methods The clinical data of 27 patients underwent laparoscopic resection of gastric gastrointestinal stromal tumor form Jan 2009 to Jan 2014,.were retrospectively analyzed. The data included the surgical procedure, operative time, blood loss, length of incision, diameter of tumor and postoperative length of stay. Results Different surgical procedures were performed, as the case might be, according to the size and location of gastric tumor. Gastric local resection was performed in20 cases, distal gastrectomy in five cases and total gastrectomy in two cases. Complete laparoscopic surgery was performed in two patients with gastric local resection and laparoscopic-assisted procedure was performed in other cases. The mean operational time was 81.3±16.2 min, the mean blood loss was42.1±9.2 ml,the mean length of incision was 5.6±2.4 cm, the mean diameter of tumor was 4.8±1.3 cm and the postoperative length of stay was（7.5±2.6） d. Conclusion Laparoscopic surgery is an feasible,safe and rapid recovery procedure for treatment of gastric gastrointestinal stromal tumor.