中国实用外科杂志

中国实用外科杂志

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腹腔镜辅助经胃腔治疗贲门部内生型胃肠间质瘤9例临床分析

王俊江1，2[Author]) AND 1[Journal]) AND year[Order])" target="_blank">2，杨梓锋1，3[Author]) AND 1[Journal]) AND year[Order])" target="_blank">3，冯兴宇1，郑佳彬1，吴德庆1，姚学清1，2[Author]) AND 1[Journal]) AND year[Order])" target="_blank">2，李    勇1，3[Author]) AND 1[Journal]) AND year[Order])" target="_blank">3   

  1. 1.广东省人民医院 广东省医学科学院普通外科，广东广州 510080；2.南方医科大学，广东广州510515；3.汕头大学医学院，广东汕头515041
  • 出版日期:2016-07-01 发布日期:2016-06-23

  • Online:2016-07-01 Published:2016-06-23

摘要：

目的    分析腹腔镜辅助经胃腔治疗贲门部内生型胃肠间质瘤的临床疗效，探讨其安全性、可行性及临床应用价值。方法    回顾性分析2014年6月至2016年3月广东省人民医院9例行腹腔镜辅助经胃腔治疗贲门部内生型胃肠间质瘤病人的临床资料。结果    9例病人均顺利完成手术，无中转开腹，手术时间59～104 min，术中出血量5～65 mL。经术后病理学检查均确诊为胃肠间质瘤。术后胃肠道恢复时间1～4 d，进食时间2～4 d，引流管留置时间3～4 d，出院时间为术后4～6 d；无术后出血、吻合口瘘、贲门狭窄等并发症。所有病人术后均未出现吞咽障碍及反酸症状，随访均未出现复发及转移迹象。结论    腹腔镜辅助经胃腔治疗贲门部内生型胃肠间质瘤安全、可行，但该术式对腹腔镜操作技术要求高，需谨慎开展。

关键词: 腹腔镜, 胃腔, 贲门部, 内生型胃肠间质瘤

Abstract:

Cardiac endogenous gastric intestinal stromal tumors with laparoscopic intragastric surgery：An analysis of 9 cases        WANG Jun-jiang*， YANG Zi-feng，FENG Xing-yu, et al. *Department of General Surgery, Guangdong General Hospital, Guangzhou 510080, China
Corresponding author: LI Yong, E-mail: yuan821007@126.com
Abstract    Objective    To evaluate the quality and clinical efficacy of laparoscopic intragastric surgery for the cardiac endogenous gastric intestinal stromal tumors, analyze its safety, feasibility and clinical value. Methods    The clinical data of 9 cases of cardiac endogenous stromal tumors performed laparoscopic intragastric surgery from June 2014 to March 2016 in Guangdong General Hospital were analyzed retrospectively. Results    Nine cases were operated  by laparoscopy successfully without conversion to open surgery. The operative time ranged 59 to 104 minutes and blood loss was from 5 to 65 mL. Nine cases were dianosed with gastric intestinal stromal tumors pathologically and recovery time was from 1 to 4 days, eating time 2 to 4 days, drainage time 3 to 4 days, discharge time 4 to 6 days. There was no postoperative bleeding, anastomotic leakage,  cartiac stenosis and other complications. All followed-up patients had no swallowing disorders and acid reflux symptoms and no signs of recurrence and metastasis at present. Conclusion    The laparoscopic intragastric treatment for cardiac endogenous gastric intestinal stromal tumors is safe and feasible. But it needs high laparoscopic surgical technique . So carrying out needs to be cautiously.

Key words: laparoscopy, intragastric, cardia, endogenous gastric intestinal stromal tumors