本文關鍵詞： 胃腫瘤 胃腸道間質腫瘤 胃底 腹腔鏡 三維視覺　出處：《中國普通外科雜志》2017年04期 　論文類型：期刊論文

【摘要】：目的:探討3D腹腔鏡手術治療胃底部間質瘤的臨床應用價值。方法:回顧性分析武漢大學人民醫(yī)院2014年1月—2015年6月間收治的36例胃底部間質瘤患者臨床資料,其中18例行3D腹腔鏡手術(3D腔鏡組),18例行開腹手術(開放手術組),比較兩組患者的圍手術期指標,術后病理資料及復發(fā)轉移情況。結果:兩組患者在年齡、性別、BMI、腫瘤大小等一般資料方面差異無統(tǒng)計學意義(均P0.05)。兩組手術時間差異無統(tǒng)計學意義(P0.05),但3D腔鏡組在術中出血量、手術切口長度、術后排氣時間及住院天數(shù)等指標方面均明顯優(yōu)于開放手術組(均P0.05)。兩組患者均未出現(xiàn)腫瘤破裂以及切緣陽性的情況,均未發(fā)生大出血、吻合口瘺、術后腸梗阻等嚴重并發(fā)癥,術后病理及免疫組化特征均無明顯差異(均P0.05)。所有患者隨訪12~36個月,無復發(fā)、轉移及死亡病例。結論:應用3D腹腔鏡技術治療胃底部間質瘤,能明顯減少患者的手術創(chuàng)傷,且遠期療效與開放手術相似。
[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.
【作者單位】： 武漢大學人民醫(yī)院胃腸外一科;
【分類號】：R735.2

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