腹腔镜联合胃镜在胃间质瘤切除术中的应用

Laparoscopic combined gastroscopy in the application of gastric stromal tumor resection

目的探讨腹腔镜联合胃镜在胃间质瘤手术中应用的可行性。方法回顾性分析2008年8月至2011年5月南昌大学第一附属医院普外科和温岭市第一人民医院胃肠外科在腹腔镜联合胃镜行胃间质瘤切除术的48例病人的临床、病理资料及随访结果。其中男22例,女26例,年龄35-76(平均52.1)岁。对手术安全性、有无并发症、术后恢复情况、随访结果做一分析。结果 47例手术成功,1例中转开腹。所有病人均无术中、术后严重并发症,无手术死亡病例;平均手术时间为(60.0±10.0)min;术中失血量为(20.0±15.0)ml;术后肛门排气时间为(26.2±7.3)h,术后住院天数为(6.0±4.0)d,短期5-36个月随访未有复发和死亡病例。结论腹腔镜联合胃镜胃间质瘤切除术定位准、出血少、创伤小、安全、有效,具有可行性。

Objective To investigate the laparoseopie combined gastroseope in the feasibility of the application of gastric stromat tumor surgery. Methods A retrospective analysis between August 2008 and May 2011 ,General surgery department the first affiliated hospital of NanChang university and gastrointestinal general surgery department the first people＇s hospital of wenling by laparoseopic joint gastroscope in gastric stromal tumor resection of 48 cases the clinical,pathological data and follow-up results. 22 eases of men and women in 26 cases,aged 35-76 years （mean 52.1）. And presence of complications on the safety of surgery, postoperative recovery and follow-up the results analysis. Results 47 eases of successful operation, 1 case of transfer open-operation. All patients had no intraoperative and postoperative complications, no operative deaths;The average operation time was （60.0 ±10.0）min. Intraoperative blood loss for （20.0±15.0）ml ;Postoperative anal exhaust time for （26.2±7.3） hours ,postoperative hospitalization days for （6.0±4.0） days, short-term（5-36 months） follow-up no recurrence and death eases. Conclusion laparoscopic combined gastroscope gastric stromal tumor resection locating prospective,less bleeding, small trauma, safe, effective and feasible.