腹腔镜-----腹腔镜外科手术；胃镜检查；胃肠肿瘤；胃切除术

腹腔镜联合胃镜治疗胃间质瘤的临床体会(附4例报告)

http://www.100md.com 《腹腔镜外科杂志》2005年第6期

腹腔镜,,腹腔镜外科手术；胃镜检查；胃肠肿瘤；胃切除术,1资料与方法,2结果,3讨论,参考文献：

     【摘要】目的：探讨腹腔镜联合胃镜手术治疗胃间质瘤的可行性和临床价值。方法：采用胃镜定位、腹腔镜胃部分切除术治疗2例胃体前壁、1例胃体后壁大弯侧，1例胃窦部前壁间质瘤。结果：4例手术均获成功，手术时间75-105min，术中出血量20～50m1，术后住院时间4～6d，随访6个月～5年，无并发症及复发病例，结论：腹腔镜联合胃镜手术治疗胃间质瘤是可行、安全和有效的。

    【关键词】腹腔镜外科手术；胃镜检查；胃肠肿瘤；胃切除术

    Resection of gastic gastrointestinal stromal using combined laparoscopic and gastroscopic approach:with a report of 4 cases

    YAN Songling,XIAO Chunlin, XU Shengshui,ZHANG Guowei

    The Second Hospital of Xiamen, Xiamen 361000, China

    【Abstract】Objective:To explore the feasibility and clinical effect of resection of gastic tumors (GISTs) using combined laparoscopic and gastroscopic approach.Method:Laparoscopic partial gastrectomy under localization of gastroscope was proceeded in all 4 cases, 2 cases’lesion located in anterior wall of gastric body and the other two in anterior wall of gastric antrum and posterior wall of gastric body respectively. Result:All operations were successfully accomplished within 75 min to 105 min,blood loss ranging from 20ml to 50 ml, 4 to 6 days' stay in hospital after surgery.During 6 months to 5 years'followup, no complication or recurrence occurred in all 4 cases.Conclusion:Resection of gastic GISTs using combined laparoscopic and gastroscopic approach is feasible, safe and effective. ......

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