| 李文卓,李建军.腹腔镜联合胃镜在胃间质瘤切除术中的应用[J].济宁医学院学报,2017,40(1):41-44 |
| 腹腔镜联合胃镜在胃间质瘤切除术中的应用 |
| The clinical application of laparoscopy combined with gastroscopy resection for gastric stromal tumors |
| 投稿时间：2016-12-15 |
| DOI：10.3969/j.issn.1000-9760.2017.01.010 |
| 中文关键词: 胃间质瘤;腹腔镜;胃镜;胃切除术 |
| 英文关键词: Gastric stromal tumor;Laparoscopy;Gastroscopy;Gastrectomy |
| 基金项目: |
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| 中文摘要: |
| 目的 探讨腹腔镜联合胃镜在胃间质瘤切除术中的临床应用。方法 分析济宁医学院附属医院胃肠外科从2014年07月至2016年07月期间行腹腔镜联合胃镜胃间质瘤切除术20例（双镜组）和同期开腹胃间质瘤切除术21例（开腹组）的临床资料，比较两组患者的手术相关资料、术后并发症及随访结果。结果 双镜组在术中出血量、术后首次肛门排气时间、拔除引流管时间、术后平均住院时间均显著短于开腹组，差异有统计学意义（P< 0.05）。双镜组术后并发症的发生率为5.00%，显著低于开腹组的33.30%，差异有统计学意义（P< 0.05）。双镜组中位随访时间18个月，随访过程中无复发、转移及死亡病例；开腹组中位随访时间17个月，其中1例高危患者出现局部复发。结论 腹腔镜联合胃镜技术在胃间质瘤快速定位中具有明显优势，手术损伤轻、并发症少及安全性高，值得临床推广。 |
| 英文摘要: |
| Objective To investigate the clinical application of laparoscopy combined with gastroscopy resection for gastric stromal tumors.Methods The clinical data from 20 patients with gastric stromal tumors undergone laparoscopy combined with gastroscopy from July 2014 to July 2016 were retrospectively analyzed,and compared with 21 patients undergone open surgery at the same period at the Affiliated Hospital of Jining Medical University.Operation-related indexes,complications and follow-up results of the patients were compared.Results As compared with open surgery group,the estimated blood loss was significantly less in the laparoscopy combined with gastroscopy group.Time to first flatus,removal of the drain tube and mean postoperative hospital stay were significantly shorter in the laparoscopy combined with gastroscopy group.There were significant differences between the two groups (P< 0.05).The incidence of postoperative complications in the laparoscopy combined with gastroscopy group was 5.00%,which was significantly lower than that 33.30% in the open surgery group,with significantly difference (P< 0.05).The median follow-up in the laparoscopy combined with gastroscopy group and open surgery group were 18 months and 17 months respectively.During the period,there was no case of recurrence,metastasis or death in laparoscopy combined with gastroscopy group.While in the open surgery group,the recurrence was found in one patient of high risk.Conclusion The laparoscopy combined with gastroscopy for treatment of gastric stromal tumors is minimally invasive and safe with rapid positioning of tumor and a favorable outcome. |
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