CAJ | 학술논문

目的探讨单孔腹腔镜在微小胃间质瘤手术中应用的可行性和疗效.方法回顾性分析13例经单孔腹腔镜完成胃间质瘤[直径为(1.3±0.5)cm]切除术的临床资料,总结手术方法及评估临床疗效.结果 13例微小胃间质瘤经单孔腹腔镜手术均获成功,切口长度为(3.8±0.6) em,手术时间(10O.0±34.6) min术,中出血量(70.0 ±45.5)ml,术后住院时间1～4d.无术后出血、吻合口漏及吻合口梗阻等并发症发生,术后恢复良好.结论单孔腹腔镜应用于胃间质瘤切除术安全、创伤小、术后康复快、早期疗效令人满意.
목적 탐토단공복강경재미소위간질류수술중응용적가행성화료효.방법 회고성분석13례경단공복강경완성위간질류[직경위(1.3±0.5)cm]절제술적림상자료,총결수술방법급평고림상료효.결과 13례미소위간질류경단공복강경수술균획성공,절구장도위(3.8±0.6) em,수술시간(10O.0±34.6) min술,중출혈량(70.0 ±45.5)ml,술후주원시간1～4d.무술후출혈、문합구루급문합구경조등병발증발생,술후회복량호.결론 단공복강경응용우위간질류절제술안전、창상소、술후강복쾌、조기료효령인만의.
Objective To explore the feasibility and clinical effect of single-incision laparoscopic surgery(SILS) in the treatment of gastrointestinal stromal tumors (GIST).Methods Clinical data of 13 GIST patients who underwent SILS resection [tumor diameter (1.3 ± 0.5) cm] were retrospectively analyzed.Surgical method was summarized and the clinical outcome was evaluated.Results All patients were successfully implemented without open conversion.The incision length was (3.8 ± 0.6) cm.Operation time was (100.0 ± 34.6) min.Intraoperative blood was (70.0 ± 45.5) ml,hospitalization time was 1 ～ 4d.There were no intraoperative or postoperative complications,such as secondary haemorrhage,anastomotic leakage or obstruction.The patients were favorably healed.Conclusion Application of SILS in treatment of GIST is safe with small trauma,fast postoperative rehabilitation,and early curative effect is satisfactory.