腹腔镜近贲门处胃间质瘤切除术联合抗反流手术临床分析

Clinical analysis of laparoscopic gastrictomy of proximal cardia combined with anti-reflux surgery

目的探讨腹腔镜贲门处胃间质瘤切除联合抗反流手术的临床疗效。方法回顾性分析2012年2月至2016年4月,新疆维吾尔自治区人民医院微外科、疝和腹壁外科行腹腔镜胃间质瘤切除术联合抗反流(Dor胃底折叠术)手术的12例近贲门处间质瘤患者临床资料。结果 12名患者均在腹腔镜镜下行胃间质瘤切除术联合抗反流(Dor胃底折叠术)术,手术时间90～120 min,平均手术时间(100±5.6)min,术中出血量20～50 ml,平均出血量(35±3.4)ml,术后住院天数4～7 d,术后平均住院天数为(5±1.2)d,术后均无出现感染、吻合口瘘及出血等并发症;术后1、3、6、12个月随访,均无出现肿瘤复发或转移,均无出现吞咽困难、胃灼热、反酸、腹痛、腹胀等症状。结论腹腔镜下近贲门处间质瘤切除术联合抗反流术(Dor胃底折叠术)是安全、有效、可行的。

Objective To investigate the clinical value of laparoscopic gastictomy combined with laparoscopic anti-reflux surgery(Dor fundoplication)in the treatment of gastric stromal tumors located near cardia.Methods Retrospectively analysed the data of12patients who underwent laparoscopic gastictomy combined with laparoscopic anti-reflux surgery(Dor fundoplication)as treatment for GIST in People's Hospital of Xinjiang Uygur Autonomous Region during January2012to April2016.Results All the12patients underwent laparoscopic gastictomy combined with laparoscopic anti-reflux surgery(Dor fundoplication)successfully.The operation time was90～120minutes,average opreation time(100±5.6)minutes;intraoperative bleeding volume was20～50ml.Average intraoperative bleeding was(35±3.4)ml,postoperative hospital stay.All patients recovered well without any complication and remained free from any symptoms of reflux or dysphagia during12months after surgery.And no tumorConclusion Laparoscopic gastirctomy and prophylactic anti-reflux surgery might be a good surgical option for GIST located near cardia.