赵滢, 王强. 腹腔镜手术与开腹手术治疗胃间质瘤51例临床分析[J]. 中国肿瘤临床, 2011, 38(8): 463-465 . DOI: 10.3969/j.issn.1000-8179.2011.08.011
引用本文: 赵滢, 王强. 腹腔镜手术与开腹手术治疗胃间质瘤51例临床分析[J]. 中国肿瘤临床, 2011, 38(8): 463-465 . DOI: 10.3969/j.issn.1000-8179.2011.08.011

腹腔镜手术与开腹手术治疗胃间质瘤51例临床分析

  • 摘要: 目的:比较胃间质瘤腹腔镜手术与开腹手术的临床疗效, 探讨腹腔镜技术在胃间质瘤治疗中的应用价值。方法: 2009年1月至2010年11月间, 中国医科大学附属盛京医院收治胃间质瘤患者51例, 其中腹腔镜手术32例, 开腹手术19例, 分析2组患者临床资料, 对比手术时间, 术中出血量, 术后排气时间, 进食时间, 住院天数, 随访结果。结果: 腹腔镜组手术时间为65.5±9.8min, 与开腹组66.7±10.7 min比较无显著性差异, 术中出血量49.7±7.5 mL, 明显少于开腹组148.8±22.3 mL, 术后排气时间24.8±3.7 h少于开腹组34.7±5.6 h, 住院时间6.3±1.1 d短于开腹组8.9±1.4 d, 短期随访1~25个月, 无复发。结论: 腹腔镜胃间质瘤手术安全、 有效, 具有可行性。

     

    Abstract: Efficacy of Laparoscopic vs Open Surgery for Gastral Stromal TumorsYing ZHAO, QiangWANGCorrespondence to: QiangWANG, E-mail: wangq@sj-hospital.orgGastro-intestinal Surgical and Nutrition Department, Affiliated Shengjing Hospital, China Medical University, Shenyang 110004, ChinaAbstract Objective: To compare the outcome of laparoscopic and open surgery for GST. Methods: A total of 51 GST patientstreated in Affiliated Shengjing Hospital between January 2009 and November 2010 were recruited and divided into two groups. Thelaparoscopy group included 32 patients and the open surgery group included 19 patients. The sugical duration, postoperative recoveryand follow-up results were compared. Results: The surgical duration was 65.5 ± 9.8 min in laparoscopy group and 66.7 ± 10.7min inopen surgery group. The blood loss was 49.7 ± 7.5 mL in laparoscopy group and 148.8 ± 22.3 mL in open surgery group. The exhaus-tion duration was 24.8 ± 3.7 h in laparoscopy group and 34.7±5.6 h in open surgery group. The postoperative hospital stay was 6.3 ± 1.1d in laparoscopy group and 8.9 ± 1.4 d in open surgery group. During the follow-up period of 1~2 months, no postoperative recurrencewas observed. Conclusion:With safety and efficacy, laparoscopy can be a feasible choice for treating GST.Keywords Gastral stromal tumors; Laparoscopy; Surgery

     

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