组织结构分离技术在腹腔镜贲门周围间质瘤切除术中的应用  

Application of Component Separation Technique in the Laparoscopic Treatment of Gastric Stromal Tumor Around the Cardia

作　　者：龚帅 张冲 吴耐 张易 任泽强 张秀忠 张蓬波 Gong Shuai;Zhang Chong;Wu Nai(Department of Gastrointestinal Surgery,Affiliated Hospital of Xuzhou Medical University,Xuzhou 221002,China)

机构地区：[1]徐州医科大学附属医院胃肠外科,徐州221002

出　　处：《中国微创外科杂志》2024年第11期743-747,共5页Chinese Journal of Minimally Invasive Surgery

摘　　要：目的探讨组织结构分离技术(component separation technique,CST)在腹腔镜贲门周围间质瘤切除术中的可行性及安全性。方法回顾性分析2020年1月~2023年6月20例贲门周围间质瘤应用CST行腹腔镜切除的资料及随访结果。结果20例均成功完成手术,无中转开腹。手术时间(90.5±18.9)min,术中出血量(22.0±14.7)ml,术后首次下床活动时间(1.2±0.4)d,排气时间(2.1±0.8)d,术后住院时间(5.7±1.2)d。术后病理极低危1例,低危14例,中危4例,高危1例;肿瘤最大径(3.6±0.9)cm。术后1例胃排空功能障碍,1例胸腔积液,均治愈。无贲门狭窄、胃漏、胃出血、腹腔内出血、切口感染等并发症。术后随访6~36个月,平均15个月,进食正常,无进食哽噎感,无反酸、烧心及反流等症状,CT检查未见肿瘤复发转移。结论CST用于腹腔镜贲门周围间质瘤切除术安全可行。Objective To explore the feasibility and safety of component separation technique(CST)in the laparoscopic treatment of gastric stromal tumor(GST)around the cardia.Methods Clinical data and follow-up results of 20 patients who underwent laparoscopic resection with CST in the treatment of GST around the cardia from January 2020 to June 2023 were retrospectively analyzed.Results All the 20 patients underwent surgery successfully without conversion to open surgery.The operative time was(90.5±18.9)min,the intraoperative blood loss was(22.0±14.7)ml,the postoperative ambulation time was(1.2±0.4)d,the first flatus time was(2.1±0.8)d,and the postoperative hospital stay was(5.7±1.2)d.Postoperative pathological results showed very low risk in 1 case,low risk in 14 cases,intermediate risk in 4 cases,and high risk in 1 case.The maximum tumor diameter was(3.6±0.9)cm.Postoperatively,1 patient experienced gastric emptying dysfunction and 1 had pleural effusion,both of whom were cured after active conservative treatment.There were no cardiac stenosis,gastric leakage,gastric bleeding,abdominal bleeding,incision infection,or other complications.All the patients were followed up for 6-36 months(mean,15 months).They were able to eat normally,without choking,acid reflux,heartburn,or reflux symptoms.The CT scanning showed no tumor recurrence or metastasis.Conclusion Application of CST in the laparoscopic treatment of GST around the cardia is safe and feasible.

关 键 词：胃肠道间质瘤 腹腔镜 贲门 组织结构分离技术 

分 类 号：R735.2[医药卫生—肿瘤]