【摘要】 目的探讨腹腔镜下胃部分切除治疗胃间质瘤的可行性及临床应用价值。方法回顾分析施行腹腔镜下胃部分切除治疗胃间质瘤22例的临床资料。结果肿瘤位于小弯侧13例,大弯侧9例;直径1.5～3 cm。22例手术均顺利完成,术中快速冷冻切片提示胃梭形细胞瘤,术后病理切缘均阴性,手术时间40～110 min(平均55 min),术中出血量50～150 mL(平均80 mL),术后24～48 h肠道功能恢复,术后住院3～7 d,无1例发生并发症。术后随访1～17个月,胃镜复诊未发现复发及转移。结论腹腔镜下胃部分切除治疗肿瘤为1.5～3 cm的胃间质瘤是安全、可行、有效的。胃腔外切除有胃内容物不外溢,污染少等优点,可不放置腹腔引流管,值得临床推广。更多还原

【Abstract】 Objective To investigate the clinical value of laparoscopic gastric partial resection for gastric stromal tumors.Methods The clinical data of 22 cases who underwent laparoscopic gastric partial resection for treatment of gastric stromal tumors from Apr 2009 to Oct 2010 in our hospital were analyzed restrospectively.Results All cases were operated on successfully without conversion to open surgery.The biopsy of the edge of specimens were all tumor negative.The average operative time was 55min,the mean intra-operative blood loss was only 50-150 mL,gastrointestinal function resumed at 24-48h after surgery on average,the postoperative hospitalization was 3-7d,and no postoperative complications occurred.Conclusions Laparoscopic partial gastric resection for gastric stromal tumors(1.5-3 cm diameter) is safe,and has the merits of little contamination,minimal invasion and rapid recovery.更多还原