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目的探讨腹腔镜下胃肠道间质瘤切除术的可行性与安全性。方法回顾性分析华中科技大学附属协和医院腹腔镜外科中心于2003年6月～2008年12月间确诊并施行了腹腔镜下胃肠道间质瘤切除术的42例患者临床资料。结果42例患者均成功施行了腹腔镜下间质瘤切除术,其中胃间质瘤32例,小肠间质瘤9例,直肠间质瘤1例,与之相应,手术时间分别为:(68±32)、(80±28)和140min,术中出血为:(50±23)、(80±33)和100mL,术后住院天数为:(6±2.5)、(7±2)和8d。随访3～72个月,1例小肠间质瘤患者复发且伴肝脏转移。结论腹腔镜下胃肠道间质瘤切除术是治疗GIST安全有效的术式选择。
Objective To investigate the feasibility and safety of laparoscopic gastrointestinal stromal tumor resection. Methods The clinical data of 42 patients diagnosed and treated with laparoscopic gastrointestinal stromal tumor from June 2003 to December 2008 at the Laparoscopic Center of Affiliated Huanhe Hospital Affiliated to Huazhong University of Science and Technology were retrospectively analyzed. Results All 42 patients underwent laparoscopic resection of the stromal tumor, including 32 cases of gastric stromal tumor, 9 cases of small intestinal stromal tumor and 1 case of rectal stromal tumor. Correspondingly, the operative time was 68 (80 +/- 28) and 140 min respectively. The intraoperative hemorrhage was (50 +/- 23), (80 +/- 33) and 100 mL, respectively. The days of postoperative hospital stay were (6 ± 2.5), (7 ± 2) and 8 days . Follow-up 3 to 72 months, 1 case of intestinal stromal tumor recurrence and liver metastasis. Conclusion laparoscopic gastrointestinal stromal tumor resection is a safe and effective surgical treatment of GIST choice.