腹腔镜联合胃镜切除近贲门处胃间质瘤的临床分析  

Clinical Analysis of Combination of Laparoscopy and Gastroscopy in the Dissection of Gastric Stromal Tumors Near to the Cardia

作　　者：隋建[1] 陈林昊[1] 黄良祥[1] 

机构地区：[1]福建医科大学省立临床学院胃肠外科,福建福州350001

出　　处：《中外医疗》2015年第1期8-9,共2页China & Foreign Medical Treatment

摘　　要：目的探讨腹腔镜联合胃镜切除近贲门处胃间质瘤的疗效和可行性。方法对该院2009年2月—2014年5月收治的60名采用腹腔镜联合胃镜切除胃间质瘤患者进行回顾性的分析。结果 60名患者均在双镜联合下成功切除近贲门处的间质瘤,手术时间平均为110 min,术中平均出血量28.5 m L,术后平均住院天数为6.5 d。无1例出现感染、穿孔及出血等并发症。术后平均随访5-24个月,无1例出现肿瘤复发或转移,无1例出现吞咽困难、腹痛等症状,营养状况良好。结论腹腔镜联合胃镜治疗近贲门处胃间质瘤是安全和可行的。Objective To evaluate the efficacy and feasibility of the combined laparoscopy and gastroscopy in the dissection of gastric stromal tumors near to the cardia. Methods The data of 60 patients who had undergone combined laparoscopy and gastroscopy in the dissection of gastric stromal tumors near to the cardia in our hospital from February 2009 to May 2014 were analyzed retrospectively. Results The procedure was successfully performed in all the 60 patients. The mean operation time was 110 minutes. The mean intraoperative blood loss was 28.5ml. The mean postoperative hospital stay was 6.5 days. None had infection, perforation, hemorrhage and other complications. The mean follow up time was 5 months to 2 years. All the patients had good nutrition, none of them had recurrence or metastasis of the tumor, dysphagia or bellyache. Conclusion The combination of laparoscopy and gastroscopy is safe and feasible for the gastric stromal tumors near to the eardia.

关 键 词：双镜联合手术 腹腔镜 术中胃镜 胃间质瘤 

分 类 号：R656[医药卫生—外科学]