腹腔镜经胃切除近贲门或幽门胃肿物8例

Laparoscopic Intragastric Resection for Gastric Tumors Near to the Cardia or Pylorus:Report of 8 Cases

目的探讨无内镜辅助的腹腔镜经胃切除贲门和幽门附近肿物的可行性。方法2018年3月~2019年10月,对胃镜切除困难的贲门(6例)和幽门(2例)附近的黏膜下肿物,采用腹腔镜经胃手术完成肿物局部切除。肿瘤直径1.0~4.0 cm,平均2.6 cm。结果8例均手术顺利,手术时间60~130 min,平均99 min,术中出血20~50 ml,术后住院3~8 d,平均6 d。无并发症发生。结论在无内镜辅助定位的条件下,可以采用普通腹腔镜器械完成腹腔镜经胃手术处理胃特殊部位肿物。

Objective To investigate the feasibility of laparoscopic intragastric resection for tumors near to the cardia or pylorus without endoscopic assistance.Methods From March 2018 to October 2019,laparoscopic intragastric resection was used to complete the local resection of the submucosal tumors near to the cardia(6 cases)or pylorus(2 cases),which were difficult to be removed by gastroscopy.The tumor diameter was 1.0-4.0 cm,with an average of 2.6 cm.Results The operations were successful in all the 8 cases.The operation time was 60-130 min,with an average of 99 min.The intraoperative bleeding was 20-50 ml.The postoperative hospital stay was 3-8 d,with an average of 6 d.No complications occurred.Conclusion Without endoscopically assisted localization,ordinary laparoscopic instruments can be used to complete laparoscopic intragastric resection to deal with gastric tumors at special locations.