不同部位胃肠道间质瘤的腹腔镜手术策略  

Laparoscopic surgical strategies for different sites of gastrointestinal stromal tumors

作　　者：吴楚营 叶凯[1] Wu Chuying;Ye Kai(Department of Colorectal Surgery,the Second Affiliated Hospital of Fujian Medical University,Quanzhou Fujian Province 362000,China)

机构地区：[1]福建医科大学附属第二医院结直肠外科,福建泉州362000

出　　处：《中华普外科手术学杂志(电子版)》2025年第2期224-227,共4页Chinese Journal of Operative Procedures of General Surgery(Electronic Edition)

基　　金：福建省临床重点专科建设项目(闽卫医政函〔2022〕884号)。

摘　　要：胃肠道间质瘤是起源于间叶组织来源的肿瘤,多见于胃,一般不发生淋巴结转移。手术是治疗胃肠道间质瘤的主要方法。在过去以开放手术为主,随着医学技术的进步,目前腹腔镜手术已经成为主流。相比传统开放手术,腹腔镜手术更加微创,术后恢复更快。由于间质瘤可能发生于胃肠道的任何一个部位,因此针对不同部位和生长情况,相应的手术方式也有所不同。笔者结合国内外最新研究动态和相关循证医学证据,对不同部位胃肠道间质瘤的腹腔镜手术策略进行综述。Gastrointestinal stromal tumors(gists)are tumors of mesenchymal origin,most commonly found in the stomach,and generally do not develop lymph node metastasis.Surgery is the main treatment for gastrointestinal stromal tumors.In the past,it was mainly open surgery,but with the progress of medical technology,laparoscopic surgery has become the mainstream.Compared with traditional open surgery,laparoscopic surgery is more minimally invasive and results in faster recovery.Because stromal tumors can occur in any part of the gastrointestinal tract,the surgical procedures are different for different sites and growth conditions.Based on the latest research trends at home and abroad and relevant evidence-based medical evidence,the author reviewed the laparoscopic surgical strategies for different sites of gastrointestinal stromal tumors.

关 键 词：间质瘤 胃肠道 腹腔镜手术 内镜治疗 外科治疗 靶向治疗 

分 类 号：R73[医药卫生—肿瘤]