本文關(guān)鍵詞： 胃腫瘤 胃腸道間質(zhì)腫瘤 胃底 腹腔鏡 三維視覺(jué)　出處：《中國(guó)普通外科雜志》2017年04期 　論文類(lèi)型：期刊論文

【摘要】：目的:探討3D腹腔鏡手術(shù)治療胃底部間質(zhì)瘤的臨床應(yīng)用價(jià)值。方法:回顧性分析武漢大學(xué)人民醫(yī)院2014年1月—2015年6月間收治的36例胃底部間質(zhì)瘤患者臨床資料,其中18例行3D腹腔鏡手術(shù)(3D腔鏡組),18例行開(kāi)腹手術(shù)(開(kāi)放手術(shù)組),比較兩組患者的圍手術(shù)期指標(biāo),術(shù)后病理資料及復(fù)發(fā)轉(zhuǎn)移情況。結(jié)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(wú)統(tǒng)計(jì)學(xué)意義(均P0.05)。兩組手術(shù)時(shí)間差異無(wú)統(tǒng)計(jì)學(xué)意義(P0.05),但3D腔鏡組在術(shù)中出血量、手術(shù)切口長(zhǎng)度、術(shù)后排氣時(shí)間及住院天數(shù)等指標(biāo)方面均明顯優(yōu)于開(kāi)放手術(shù)組(均P0.05)。兩組患者均未出現(xiàn)腫瘤破裂以及切緣陽(yáng)性的情況,均未發(fā)生大出血、吻合口瘺、術(shù)后腸梗阻等嚴(yán)重并發(fā)癥,術(shù)后病理及免疫組化特征均無(wú)明顯差異(均P0.05)。所有患者隨訪(fǎng)12~36個(gè)月,無(wú)復(fù)發(fā)、轉(zhuǎn)移及死亡病例。結(jié)論:應(yīng)用3D腹腔鏡技術(shù)治療胃底部間質(zhì)瘤,能明顯減少患者的手術(shù)創(chuàng)傷,且遠(yuǎn)期療效與開(kāi)放手術(shù)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(xué)人民醫(yī)院胃腸外一科;
【分類(lèi)號(hào)】：R735.2

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