腹腔镜微创外科治疗胃肠间质瘤43例分析  

Micro-invasive surgery by laparoscopy for treating gastric stromal tumors in 43 cases

作　　者：徐方贵[1] 仇毓东[1] 孙喜太[1] 

机构地区：[1]南京医科大学鼓楼临床医学院,南京210029

出　　处：《国际外科学杂志》2010年第7期463-465,共3页International Journal of Surgery

摘　　要：目的 评价胃肠间质瘤的临床诊断及行腹腔镜手术治疗的可行性与安全性.方法 回顾性分析2006年8月-2009年6月43例超声内镜拟诊胃肠道间质瘤的临床诊断与治疗资料.结果 腹腔镜手术成功36例,成功率为83.7%.超声内镜诊断率为69.O%.术后诊断胃肠道间质瘤免疫组化CD117、CD34标记阳性率为100%.术后患者平均住院时间为5 d,术后疼痛轻微.结论 超声内镜及CD117、CD34标记可以作为胃肠道间质瘤临床影像学诊断及免疫学诊断的重要手段,腹腔镜手术切除胃肠间质瘤是安全可行的.Objective To evaluate the clinical diagnosis of gastric stromal tumors and the safety and feasibility with laparoscopic wedge resection.Methods The clinical data of diagnosis and treatment were retrospectively analyzed in 43 cases diagnosed as gastric stromal tumors by endoscopyic ultrasonography.Results Thirty-six cases were successful by laparoscopic surgery success rate being 83.7%.Endoscopic ultrasonography diagnosis rate was 69.0%.The positive rate of CD117 and CD34 in postoperative diagnosis of gastrointestinal stromal tumor wasl00%.The mean post-operative hospital stay was 5 days.Conclusion Endoscopyic ultrasonography can be selected as a main method for clinical diagnosis of gastric stromal tumors and laparoscopic resection was safe and feasible.

关 键 词：胃肠间质瘤 腹腔镜 超声内镜 

分 类 号：R735[医药卫生—肿瘤]