3D腹腔镜手术治疗胃底部间质瘤的临床疗效

发布时间：2018-02-13 22:55

本文关键词： 胃肿瘤胃肠道间质肿瘤胃底腹腔镜三维视觉　出处：《中国普通外科杂志》2017年04期 　论文类型：期刊论文

【摘要】：目的:探讨3D腹腔镜手术治疗胃底部间质瘤的临床应用价值。方法:回顾性分析武汉大学人民医院2014年1月—2015年6月间收治的36例胃底部间质瘤患者临床资料,其中18例行3D腹腔镜手术(3D腔镜组),18例行开腹手术(开放手术组),比较两组患者的围手术期指标,术后病理资料及复发转移情况。结果:两组患者在年龄、性别、BMI、肿瘤大小等一般资料方面差异无统计学意义(均P0.05)。两组手术时间差异无统计学意义(P0.05),但3D腔镜组在术中出血量、手术切口长度、术后排气时间及住院天数等指标方面均明显优于开放手术组(均P0.05)。两组患者均未出现肿瘤破裂以及切缘阳性的情况,均未发生大出血、吻合口瘘、术后肠梗阻等严重并发症,术后病理及免疫组化特征均无明显差异(均P0.05)。所有患者随访12~36个月,无复发、转移及死亡病例。结论:应用3D腹腔镜技术治疗胃底部间质瘤,能明显减少患者的手术创伤,且远期疗效与开放手术相似。
[Abstract]:Objective: to evaluate the clinical value of 3D laparoscopic surgery in the treatment of gastric fundus stromal tumors. Methods: the clinical data of 36 patients with gastric fundus stromal tumors admitted from January 2014 to June 2015 in Renmin Hospital of Wuhan University were retrospectively analyzed. Among them, 18 cases underwent 3D laparoscopic surgery and 18 cases underwent open surgery (open operation group). The perioperative indexes, postoperative pathological data and recurrence and metastasis were compared between the two groups. There was no significant difference in BMI, tumor size and other general data between the two groups (all P 0.05). There was no significant difference in operation time between the two groups (P 0.05), but there was no significant difference between the two groups in the amount of bleeding and the length of incision in the 3D endoscopic group. The postoperative exhaust time and hospital stay were significantly better than those in the open operation group (all P 0.05). There was no tumor rupture and positive margin in both groups, and no severe complications such as massive bleeding, anastomotic leakage, postoperative intestinal obstruction, and so on, were found in both groups. There was no significant difference in pathological and immunohistochemical features after operation (all P 0.05). All the patients were followed up for 12 ~ 36 months without recurrence, metastasis and death. Conclusion: 3D laparoscopic treatment of gastric fundus stromal tumors can significantly reduce the surgical trauma of the patients. The long-term effect was similar to that of open surgery.
【作者单位】：武汉大学人民医院胃肠外一科;
【分类号】：R735.2

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