Objective:To analyze the clinical effect of gastroscopy combined with laparoscopy in the treatment of gastric stromal tumors.Methods:From January 2015 to December 2017,53 patients with gastric interstitial tumors were...Objective:To analyze the clinical effect of gastroscopy combined with laparoscopy in the treatment of gastric stromal tumors.Methods:From January 2015 to December 2017,53 patients with gastric interstitial tumors were screened from the patients who were examined or admitted to our hospital.The patients who were not suitable for surgical treatment with gastroscopy and laparoscopy will be selected.As a control group,a total of 21 patients were treated with open surgery;the remaining 32 patients were treated as a study group with gastroscopy combined with laparoscopy.After treatment,analyze intraoperative or postoperative indicators,pathological results,risk of tumor recurrence,and incidence of complications.Results:The operation time in the study group was significantly longer than that in the control group.The blood loss,abdominal drainage volume,exhaust time,analgesic use time,and hospital stay in the study group were significantly shorter than those in the control group,P<0.05,and the differences were statistically significant.There was no difference between the immunohistochemical results and the benign and malignant tumor results in the group,P>0.05,which was not statistically significant;the difference in recurrence risk between the study group and the control group was not significant,P>0.05;the incidence of complications was significantly lower in the study group.In the control group,the difference was significant,P<0.05.Conclusion:Gastroscopy combined with laparoscopy for gastric stromal tumors has a significant effect,is safe and reliable,and is worthy of clinical promotion.展开更多
BACKGROUND Splenosis is a rare benign disease that often disguises itself as a malignant tumor.There are few articles providing a comprehensive description of splenosis,especially cases located in the stomach being tr...BACKGROUND Splenosis is a rare benign disease that often disguises itself as a malignant tumor.There are few articles providing a comprehensive description of splenosis,especially cases located in the stomach being treated by laparoscopic surgery.CASE SUMMARY A 44-year-old man presented with recurrent upper abdominal pain for more than half a year.The patient had splenic rupture caused by trauma more than 10 years ago and underwent splenectomy.An abdominal contrast-enhanced computed tomography scan revealed an irregular soft tissue density.Gastroscopy revealed an approximately 3.0 cm×3.0 cm mucosal eminence at the posterior wall of the upper segment of the gastric body.Biopsy was not performed since the lesion was found under the mucosa and the gastric mucosa appeared normal.According to these findings,a diagnosis of gastric stromal tumor was made,although a definitive differential diagnosis was not known before surgery.When laparoscopic resection of the gastric stromal tumor was performed,an astonishing finding was made when postoperative pathology showed that the lesion comprised typical spleen tissue.CONCLUSION This case highlights the strong similarities between splenosis and malignant tumors.A detailed medical history combined with various effective auxiliary examinations can help improve differential diagnosis.展开更多
A stricture formation resulting in impedance of gastric emptying is a fairly common complication after gastric surgery with endoscopy being the most direct way of diagnosis. When this and other methods fail in detecti...A stricture formation resulting in impedance of gastric emptying is a fairly common complication after gastric surgery with endoscopy being the most direct way of diagnosis. When this and other methods fail in detecting the complication, the proper diagnosis can become challenging. We present an unusual case of an acquired gastric stricture after the gastrointestinal stromal tumor (GIST) resection. A stapled strictureplasty was completed with the simultaneous application of the diagnostic laparoscopy and the intra-operative EGD. We perform the comprehensive literature review (Pubmed-Cochrane 1990-current) diagnostic and surgical treatments of post resection gastric strictures.展开更多
基金Medical and health science and Technology Innovation Project,Chinese Academy of Medical Sciences,collection,analysis and evaluation of medical big data information(No.2016-12M-2-004)
文摘Objective:To analyze the clinical effect of gastroscopy combined with laparoscopy in the treatment of gastric stromal tumors.Methods:From January 2015 to December 2017,53 patients with gastric interstitial tumors were screened from the patients who were examined or admitted to our hospital.The patients who were not suitable for surgical treatment with gastroscopy and laparoscopy will be selected.As a control group,a total of 21 patients were treated with open surgery;the remaining 32 patients were treated as a study group with gastroscopy combined with laparoscopy.After treatment,analyze intraoperative or postoperative indicators,pathological results,risk of tumor recurrence,and incidence of complications.Results:The operation time in the study group was significantly longer than that in the control group.The blood loss,abdominal drainage volume,exhaust time,analgesic use time,and hospital stay in the study group were significantly shorter than those in the control group,P<0.05,and the differences were statistically significant.There was no difference between the immunohistochemical results and the benign and malignant tumor results in the group,P>0.05,which was not statistically significant;the difference in recurrence risk between the study group and the control group was not significant,P>0.05;the incidence of complications was significantly lower in the study group.In the control group,the difference was significant,P<0.05.Conclusion:Gastroscopy combined with laparoscopy for gastric stromal tumors has a significant effect,is safe and reliable,and is worthy of clinical promotion.
文摘BACKGROUND Splenosis is a rare benign disease that often disguises itself as a malignant tumor.There are few articles providing a comprehensive description of splenosis,especially cases located in the stomach being treated by laparoscopic surgery.CASE SUMMARY A 44-year-old man presented with recurrent upper abdominal pain for more than half a year.The patient had splenic rupture caused by trauma more than 10 years ago and underwent splenectomy.An abdominal contrast-enhanced computed tomography scan revealed an irregular soft tissue density.Gastroscopy revealed an approximately 3.0 cm×3.0 cm mucosal eminence at the posterior wall of the upper segment of the gastric body.Biopsy was not performed since the lesion was found under the mucosa and the gastric mucosa appeared normal.According to these findings,a diagnosis of gastric stromal tumor was made,although a definitive differential diagnosis was not known before surgery.When laparoscopic resection of the gastric stromal tumor was performed,an astonishing finding was made when postoperative pathology showed that the lesion comprised typical spleen tissue.CONCLUSION This case highlights the strong similarities between splenosis and malignant tumors.A detailed medical history combined with various effective auxiliary examinations can help improve differential diagnosis.
文摘A stricture formation resulting in impedance of gastric emptying is a fairly common complication after gastric surgery with endoscopy being the most direct way of diagnosis. When this and other methods fail in detecting the complication, the proper diagnosis can become challenging. We present an unusual case of an acquired gastric stricture after the gastrointestinal stromal tumor (GIST) resection. A stapled strictureplasty was completed with the simultaneous application of the diagnostic laparoscopy and the intra-operative EGD. We perform the comprehensive literature review (Pubmed-Cochrane 1990-current) diagnostic and surgical treatments of post resection gastric strictures.
