肿瘤研究与临床
腫瘤研究與臨床
종류연구여림상
CANCER RESEARCH AND CLINIC
2014年
8期
547-549
,共3页
胃肠道间质肿瘤%腹腔镜%治疗
胃腸道間質腫瘤%腹腔鏡%治療
위장도간질종류%복강경%치료
Gastrointestinal stromal tumor%Laparoscopy%Treatment
目的 探讨应用腹腔镜治疗胃间质瘤(GST)的安全性及可靠性.方法 选取术前辅助检查未见明显远处转移、无邻近器官侵袭及无贲门和幽门浸润的GST患者48例,实施腹腔镜手术治疗,术后跟踪随访,观察其疗效.结果 48例患者中,男22例,女26例,平均年龄56岁.患者肿瘤直径为0.6～10.0 cm,其中≥2 cm共36例;胃窦部12例,胃底12例,胃体前壁16例,胃体后壁8例;平均手术时间85 min;平均手术出血量65 ml;术后平均开始进食时间3d,术后平均住院时间7d.所有患者术后随访12～36个月,未见肿瘤局部复发及远处转移,无肿瘤相关死亡病例.结论 对于无远处转移、无邻近器官侵袭及未浸润贲门和幽门的GST患者,腹腔镜手术切除是安全有效的,不仅适用于直径＜2 cm的肿瘤,而且适用于直径更大的肿瘤.
目的 探討應用腹腔鏡治療胃間質瘤(GST)的安全性及可靠性.方法 選取術前輔助檢查未見明顯遠處轉移、無鄰近器官侵襲及無賁門和幽門浸潤的GST患者48例,實施腹腔鏡手術治療,術後跟蹤隨訪,觀察其療效.結果 48例患者中,男22例,女26例,平均年齡56歲.患者腫瘤直徑為0.6～10.0 cm,其中≥2 cm共36例;胃竇部12例,胃底12例,胃體前壁16例,胃體後壁8例;平均手術時間85 min;平均手術齣血量65 ml;術後平均開始進食時間3d,術後平均住院時間7d.所有患者術後隨訪12～36箇月,未見腫瘤跼部複髮及遠處轉移,無腫瘤相關死亡病例.結論 對于無遠處轉移、無鄰近器官侵襲及未浸潤賁門和幽門的GST患者,腹腔鏡手術切除是安全有效的,不僅適用于直徑＜2 cm的腫瘤,而且適用于直徑更大的腫瘤.
목적 탐토응용복강경치료위간질류(GST)적안전성급가고성.방법 선취술전보조검사미견명현원처전이、무린근기관침습급무분문화유문침윤적GST환자48례,실시복강경수술치료,술후근종수방,관찰기료효.결과 48례환자중,남22례,녀26례,평균년령56세.환자종류직경위0.6～10.0 cm,기중≥2 cm공36례;위두부12례,위저12례,위체전벽16례,위체후벽8례;평균수술시간85 min;평균수술출혈량65 ml;술후평균개시진식시간3d,술후평균주원시간7d.소유환자술후수방12～36개월,미견종류국부복발급원처전이,무종류상관사망병례.결론 대우무원처전이、무린근기관침습급미침윤분문화유문적GST환자,복강경수술절제시안전유효적,불부괄용우직경＜2 cm적종류,이차괄용우직경경대적종류.
Objective To evaluate the safety and reliability of laparoscopic in treatment of gastric gastric stromal tumor (GST).Methods 48 GST patients were selected for laparoscopic operation who had no distant metastases,adjacent organ invasion and non-cardia and pylorus infiltration confirmed by preoperative examination.The postoperative treatment,follow-up and the effect was observed.Results 48 patients included 22 males and 26 females,and mean age was 56 years old.The tumor diameter was 0.6-10.0 cm,in which 36 cases had tumor size ≥ 2 cm.12 cases of tumor occurred in gastric antrum,12 cases in gastric fundus,16 cases in anterior wall of gastric body,8 cases in posterior wall of gastric body.The mean operative time was 85 min,the mean operation blood loss was 65 ml,the postoperative average start eating time was 3 d,and the mean postoperative in-patient time was 7 d.All patients were followed up for 12-36 months.There were no local recurrence and distant metastasis and tumor-related deaths.Conclusions For the GST patients who have no distant metastases,adjacent organ invasion and non-cardia and pylorus infiltration,laparoscopic operation is safe and effective,which is not only applied to less than 2 cm diameter GST,but also to larger diameter tumor.
