术中超声定位在非腔外生长的胃肠间质瘤腹腔镜手术中的临床应用  

Clinical application of intraoperative ultrasound localization in laparoscopic surgery for non extraluminal gastrointestinal stromal tumors

作　　者：王伟丰 吴芳[2] 蔡徐帆 章笑 叶再元[2] Wang Weifeng;Wu Fang;Cai Xufan;Zhang Xiao;Ye Zaiyuan(Wuyi County Hospital of Traditional Chinese Medicine,Wuyi 321200,China;Department of General Surgery,Division of Gastrointestinal and Pancreatic Surgery,Zhejiang Provincial People′s Hospital(Affiliated People′s Hospital of Hangzhou Medical College),Hangzhou 310014,China;Graduate School of Zhejiang University of Traditional Chinese Medicine,Hangzhou 310022,China)

机构地区：[1]武义县中医院外科,武义321200 [2]浙江省人民医院(杭州医学院附属人民医院)普通外科胃肠胰外科,杭州310014 [3]浙江中医药大学研究生院,杭州310022

出　　处：《中国医师杂志》2024年第8期1133-1136,共4页Journal of Chinese Physician

基　　金：浙江省教育厅高校一般科研项目(Y202352479);浙江省医药卫生科技计划(2024KY770)。

摘　　要：目的探讨术中超声定位在非腔外生长的胃肠间质瘤腹腔镜手术中的应用价值。方法回顾性分析2023年1月至2024年3月期间浙江省人民医院收治的13例经腹腔镜手术治疗的非腔外生长胃肠间质瘤患者的临床资料,术中均采用超声定位。对患者的手术方式、手术时间、术中出血量、术后首次进食时间、术后住院时间、术后并发症情况等指标进行分析。结果13例患者中,男7例,女6例,所有患者均顺利完成手术。手术时间(71.54±19.51)min、术中出血量(20.0±16.8)ml,术后首次进食时间(3.08±1.38)d,术后住院时间(6.92±2.69)d。13例患者术中均无中转开腹手术,术中操作顺利,术中无大出血、无医源性损伤,术后无出血、腹腔感染、吻合口瘘、吻合口狭窄等,无非计划再次手术病例,均恢复良好,顺利出院,术后3个月回访均无不适症状。结论术中超声在腹腔镜非腔外生长胃肠间质瘤手术中能精准进行肿瘤定位,有利于手术的顺利进行及手术策略的制定,具有明显的安全性和可靠性。ObjectiveTo explore the application value of intraoperative ultrasound localization in laparoscopic surgery for non extraluminal gastrointestinal stromal tumors.MethodsA retrospective analysis was conducted on the clinical data of 13 patients with non extraluminal gastrointestinal stromal tumors treated with laparoscopic surgery at Zhejiang Provincial People′s Hospital from January 2023 to March 2024.Ultrasound localization was used during the surgery.An analysis was conducted on indicators such as the patient′s surgical approach,surgical duration,intraoperative blood loss,time of first postoperative meal intake,length of hospital stay,and incidence of postoperative complications.ResultsAmong the 13 patients,there were 7 males and 6 females,and all patients successfully completed the surgery.The operation time was(71.54±19.51)minutes,the intraoperative blood loss was(20.0±16.8)ml,the first postoperative feeding time was(3.08±1.38)days,and the postoperative hospitalization time was(6.92±2.69)days.All 13 patients did not undergo conversion to open surgery during the operation,and the operation was smooth.There was no major bleeding or iatrogenic injury during the operation.There was no bleeding,abdominal infection,anastomotic fistula,anastomotic stenosis,etc.after the operation.There were no unplanned cases of reoperation,and all recovered well and were discharged smoothly.There were no discomfort symptoms during the 3-month follow-up after the operation.ConclusionsIntraoperative ultrasound can accurately locate tumors in laparoscopic non cavity growth gastrointestinal stromal tumor surgery,which is beneficial for the smooth progress of the surgery and the formulation of surgical strategies,and has obvious safety and reliability.

关 键 词：胃肠道间质瘤 腹腔镜检查 超声检查 

分 类 号：R445.1[医药卫生—影像医学与核医学] R735[医药卫生—诊断学]