胃镜联合腹腔镜胃楔形切除治疗胃间质瘤的应用体会  

Application experience of gastroscope combined with laparoscope in stomach wedge resection for gastric stromal tumor

作　　者：朱世滨[1] 赵国华[1] 

机构地区：[1]大连医科大学附属大连市中心医院胃肠三科,116033

出　　处：《中国实用医药》2015年第28期19-20,共2页China Practical Medicine

摘　　要：目的探讨腹腔镜联合胃镜治疗胃间质瘤(GIST)的临床效果。方法回顾性分析行腹腔镜结合胃镜治疗18例胃间质瘤患者的临床资料,其中1例在胃镜辅助下行腹腔镜胃腔内肿瘤切除术,17例行胃镜辅助下行腹腔镜胃楔形切除术。结果 18例患者均完成手术,无手术并发症和中转开腹发生。手术时间(70.3±25.3)min,术中出血(55.4±22.6)ml,术后住院(7.5±2.4)d。切除的肿瘤直径(3.3±1.7)cm,术后免疫组化结果:CD34阳性13例(72.2%),CD117阳性16例(88.9%),其中极低度风险12例,低度风险6例,无高危病例。结论腹腔镜结合胃镜治疗胃间质瘤安全可行,值得临床推广应用。Objective To investigate clinical effect of gastroscope combined with laparoscope in the treatment of gastric stromal tumor （GIST）. Methods A retrospective analysis was made on clinical data of 18 patients receiving gastroscope combined with laparoscope for gastric stromal tumor. There was 1 case received gastroscope-assisted laparoscopic stomach cavity tumor resection, and the other 17 cases received gastroscope-assisted laparoscopic stomach wedge resection. Results All the 18 cases received successful operation, without complications and alternative laparotomy. Their operation time was （70.3±25.3） min, intraoperative bleeding volume was （55.4±22.6） ml, postoperative hospital stay was （7.5±2.4） d, and diameter of tumor was （3.3±1.7） cm. Postoperative immunohistochemistry showed 13 cases with positive CD34 （72.2%） and 16 cases with positive CD117 （88.9%）. There were 12 extremely low risk cases, 6 low risk cases, and no high risk case. Conclusion Implement of gastroscope combined with laparoscope is safe and feasible in the treatment of gastric stromal tumor, and it is worthy of clinical promotion and application.

关 键 词：腹腔镜 胃镜 胃间质瘤 

分 类 号：R735[医药卫生—肿瘤]