Clinical observation of laparoscopic seromuscular dissection in the treatment of gastric stromal tumors.

IF 1.7 4区医学 Q2 SURGERY

Minimally Invasive Therapy & Allied Technologies Pub Date : 2023-12-01 Epub Date: 2023-07-15 DOI:10.1080/13645706.2023.2228402

Baohang Fan, Keli Zhong, Zhao Chen

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引用次数: 0

Abstract

Objective: To investigate the safety and oncological prognosis of laparoscopic seromuscular dissection (LSD) in the treatment of gastric stromal tumors.

Material and methods: From June 2016 to July 2022, 67 patients with gastric stromal tumors underwent laparoscopic seromuscular dissection (LSD), and 58 patients underwent non-LSD surgery during the same period (52 patients underwent laparoscopic gastric wedge resection (LWR), two patients underwent proximal gastrectomy, three patients underwent total gastrectomy, one patient underwent distal gastrectomy and partial hepatectomy). Gastric stromal tumor patients were compared to compare the surgical results, tumor relapse rate, and survival rate of the two groups.

Results: The results of the two groups were compared. For gastric stromal tumors, especially gastric stromal tumors located at 'difficult sites', LSD can reduce the amount of bleeding and the number of cutting staplers used during the operation, reduce the incidence of postoperative complications, shorten the postoperative hospitalization time, reduce the hospitalization cost and improve the quality of life of patients without increasing the operation time.

Conclusion: Laparoscopic seromuscular dissection for gastric stromal tumors is safe and technically feasible in the hands of experienced laparoscopic surgeons.

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腹腔镜血清肌层剥离术治疗胃间质瘤的临床观察。

目的研究腹腔镜蚕膜剥离术（LSD）治疗胃间质瘤的安全性和肿瘤预后：2016年6月至2022年7月，67例胃间质瘤患者接受了腹腔镜下浆膜下剥离术（LSD），同期58例患者接受了非LSD手术（52例患者接受了腹腔镜下胃楔形切除术（LWR），2例患者接受了近端胃切除术，3例患者接受了全胃切除术，1例患者接受了远端胃切除术和肝部分切除术）。比较两组胃间质瘤患者的手术效果、肿瘤复发率和生存率：结果：比较了两组患者的手术效果。对于胃间质瘤，尤其是位于 "疑难部位 "的胃间质瘤，LSD可在不增加手术时间的情况下，减少手术中的出血量和切割钉书针的使用次数，降低术后并发症的发生率，缩短术后住院时间，降低住院费用，提高患者的生活质量：结论：在经验丰富的腹腔镜外科医生手中，腹腔镜胃间质瘤血清肌层剥离术是安全和技术可行的。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Minimally Invasive Therapy & Allied Technologies 医学-外科

CiteScore

3.80

自引率

5.90%

发文量

审稿时长

6-12 weeks

期刊介绍： Minimally Invasive Therapy and Allied Technologies (MITAT) is an international forum for endoscopic surgeons, interventional radiologists and industrial instrument manufacturers. It is the official journal of the Society for Medical Innovation and Technology (SMIT) whose membership includes representatives from a broad spectrum of medical specialities, instrument manufacturing and research. The journal brings the latest developments and innovations in minimally invasive therapy to its readers. What makes Minimally Invasive Therapy and Allied Technologies unique is that we publish one or two special issues each year, which are devoted to a specific theme. Key topics covered by the journal include: interventional radiology, endoscopic surgery, imaging technology, manipulators and robotics for surgery and education and training for MIS.