CAJ | 학술논문

目的：探讨腹腔镜联合胃镜治疗胃间质瘤的可行性和临床价值。方法对2011年6月至2013年6月间接受双镜联合手术治疗的30例胃间质瘤病人的临床资料进行回顾性分析。30例胃间质瘤病人中男性16例,女性14例,年龄40~70岁,18例有上消化道不适,2例有上消化道出血症状,其余10例为体检发现,无明显症状、体征,胃镜检查示黏膜下隆起；超声胃镜示病灶处呈低回声或强回声,边界清楚,内部回声均匀,位于黏膜下层或固有肌层。术前所有病例均行超声胃镜和CT 检查报告提示胃间质瘤,其中20例位于胃体前壁,6例位于胃体后壁大弯侧,4例位于胃底小弯侧,直径1.5~3.0 cm,边界清楚。结果手术均获成功,无中转开腹和手术死亡病例。手术时间(60±15)min,术中出血量(30±10)ml,术后胃肠功能恢复时间(24±8)h,术后住院(5±2)d,无术后并发症出现,随访12~36个月,未见肿瘤复发和远处转移。结论腹腔镜联合胃镜治疗胃间质瘤是安全可行、具有微创、恢复快的特点,疗效满意。
목적：탐토복강경연합위경치료위간질류적가행성화림상개치。방법대2011년6월지2013년6월간접수쌍경연합수술치료적30례위간질류병인적림상자료진행회고성분석。30례위간질류병인중남성16례,녀성14례,년령40~70세,18례유상소화도불괄,2례유상소화도출혈증상,기여10례위체검발현,무명현증상、체정,위경검사시점막하륭기；초성위경시병조처정저회성혹강회성,변계청초,내부회성균균,위우점막하층혹고유기층。술전소유병례균행초성위경화CT 검사보고제시위간질류,기중20례위우위체전벽,6례위우위체후벽대만측,4례위우위저소만측,직경1.5~3.0 cm,변계청초。결과수술균획성공,무중전개복화수술사망병례。수술시간(60±15)min,술중출혈량(30±10)ml,술후위장공능회복시간(24±8)h,술후주원(5±2)d,무술후병발증출현,수방12~36개월,미견종류복발화원처전이。결론복강경연합위경치료위간질류시안전가행、구유미창、회복쾌적특점,료효만의。
Objective To evaluate the feasibility and clinical value of laparoscopy plus endosco-py in the treatment of gastric gastrointestinal stromal tumor (GIST).Methods Retrospective analy-ses were performed for the clinical data of 30 patients undergoing laparoscopy plus endoscopy for gas-tric GIST between June 201 1 and June 2013.Results All operations were successful.There was nei-ther conversion nor mortality.The mean operative duration was (60±1 5)min,mean blood loss (30± 10)ml,mean postoperative gastrointestinal functional recovery time (24±8)h and mean postopera-tive hospital stay (5±2)days.No postoperative complications occurred.There was no onset of recur-rence or metastasis during a follow-up period of 12-36 months.Conclusions Laparoscopy plus endos-copy is safe,feasible and mini-invasive for gastric GIST with rapid recovery and satisfactory outcomes.