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目的总结分析腹腔镜技术在胃间质瘤中的个体化应用。方法回顾性分析2006年6月—2011年6月金华市中心医院23例行腹腔镜胃间质瘤手术患者的临床资料。结果 23例患者均成功行腹腔镜手术,其中腹腔镜胃楔形切除术13例,腹腔镜经胃肿瘤外翻切除术8例,腹腔镜辅助远端胃大部切除术1例,腹腔镜辅助近端胃大部切除术1例。手术平均时间90 min(50~180 min),术中平均出血80 ml(30~150 ml),术后平均住院日6 d(4~8 d),随访10~22个月,无复发及远处转移。结论腹腔镜技术应用于胃间质瘤是安全、可行的,可根据胃间质瘤位置及大小个体化选择术式。
Objective To summarize and analyze the individualized application of laparoscopy in gastric stromal tumors. Methods The clinical data of 23 patients undergoing laparoscopic surgery for gastric stromal tumor at Jinhua Central Hospital from June 2006 to June 2011 were retrospectively analyzed. Results All the 23 patients underwent laparoscopic surgery successfully. Laparoscopic gastrectomy was performed in 13 cases, laparoscopic surgery for valgus resection in 8 cases, laparoscopic assisted distal gastrectomy in 1 case, laparoscopic assisted approach One case of distal gastrectomy. The average operation time was 90 min (50-180 min), mean intraoperative bleeding was 80 ml (30-150 ml) and average postoperative hospital stay was 6 days (4-8 days). The patients were followed up for 10-22 months without recurrence and far Department transfer. Conclusion Laparoscopy is a safe and feasible method for the treatment of gastric stromal tumors and can be selected according to the location and size of gastric stromal tumors.