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Clinical Control Study of Endoscopic Full-thickness Resection and Laparoscopic Surgery in the Treatment of Gastric Tumors Arising from the Muscularis Propria 被引量:13
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作者 Cheng-Rong Wu Liu-Ye Huang +6 位作者 juan Guo Bo Zhang jun Cgi Cheng-Ming Sun Li-Xin Jiang Zhi-Hua Wang ai-hong ju 《Chinese Medical Journal》 SCIE CAS CSCD 2015年第11期1455-1459,共5页
Background: Gastric stromal tumors arising from the muscularis propria are located in deeper layers. Endoscopic resection may be contraindicated due to the possibility of perforation. These tumors are therefore usual... Background: Gastric stromal tumors arising from the muscularis propria are located in deeper layers. Endoscopic resection may be contraindicated due to the possibility of perforation. These tumors are therefore usually removed by surgical or laparoscopic procedures. This study evaluated the curative effects, safety and feasibility of endoscopic full-thickness resection (EFR) of gastric stromal tumors originating from the muscularis propria. Methods: This study enrolled 92 patients with gastric stromal tumors 〉2.5 cm originating from the muscularis propria. Fifty patients underwent EFR, and 42 underwent laparoscopic intragastric surgery. Operation time, complete resection rate, length of hospital stay, incidence of complications, and recurrence rates were compared in these two groups. Results: EFR resulted in complete resection of all 50 gastric stromal tumors, with a mean procedure time of 85± 20 min, a mean hospitalization time of 7.0± 1.5 days and no complications. Laparoscopic intragastric surgery also resulted in a 100% complete resection rate, with a mean operation time of 88 ± 12 min and a mean hospitalization period of 7.5 ± 1.6 days. The two groups did not differ significantly in operation time, complete resection rates, hospital stay or incidence of complications (P 〉 0.05). No patient in either group experienced tumor recurrence. Conclusions: EFR technique is effective and safe for the resection of gastric stromal tumors arising from the muscularis propria. 展开更多
关键词 ENDOSCOPY Full-thickness Excision Gastric Stromal Tumor Muscularis Propria TREATMENT
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