3D腹腔镜下经浆肌层切除胃窦脂肪瘤  

One case of gastric antrum lipoma was resected by 3D laparoscopy through sarcoplasmic reticulum and the literature was reviewed

作　　者：张传灼 顾春林[1] ZHANG Chuanzhuo;GU Chunlin(Department of General Surgery,Jiangsu Traditional Chinese Medicine Hospital Nanjing 210000,China)

机构地区：[1]江苏省中医院普外科,南京210000

出　　处：《临床外科杂志》2020年第6期568-569,共2页Journal of Clinical Surgery

摘　　要：目的报道3D腹腔镜下经浆肌层切除胃窦脂肪瘤病例1例。方法我院于2019年1月9日为1例胃脂肪瘤病人实施了3D腹腔镜下经浆肌层切除术,术前腹部CT检查提示胃窦部占位,脂肪瘤可能,大小40 mm×35 mm,无蒂,超声胃镜检查提示胃窦黏膜下隆起,脂肪瘤可能。术中切开浆肌层,未损伤胃黏膜,完整切除。结果手术顺利,术中无出血,未放置胃管,手术时间115分钟。术后病理检查:胃窦黏膜下脂肪瘤,大小3.8 cm×2.7 cm×1.7 cm,术后第2日进食流质,第3日进食半流质,术后第4日出院。结论3D腹腔镜下经浆肌层成功切除胃窦脂肪瘤,术后恢复好。Objective A case of gastric antrum lipoma was resected by 3 D laparoscopy through sarcoplasmic reticulum.Methods The general surgery department of jiangsu provincial hospital of traditional Chinese medicine performed 3 D laparoscopic sarcosiotomy on a patient with gastric lipoma at 2019-01-09.Preoperative abdominal CT:gastric antrum occupation,lipoma possible,size 40 mm×35 mm,pedicle free,ultrasonic gastroscopy:submucosal eminence of gastric antrum,lipoma possible.During the operation,the muscle layer of the pulp was incised and the gastric mucosa was not damaged.Results The operation was smooth without intraoperative bleeding and no gastric tube was placed.The operation time was 115 min.Postoperative pathology showed submucosal lipoma of the gastric antrum with a size of 3.8 cm×2.7 cm×1.7 cm.Conclusion The lipoma of gastric antrum was successfully resected by 3 D laparoscopy through the sarcoplasmic reticulum,and the postoperative recovery was good.

关 键 词：腹腔镜 胃脂肪瘤 3D 

分 类 号：R735.2[医药卫生—肿瘤]