Clinical research of laparoscopic treatment of gastric stromal tumor / 肿瘤研究与临床

ABSTRACT

Objective To evaluate the safety and reliability of laparoscopic in treatment of gastric gastric stromal tumor (GST).Methods 48 GST patients were selected for laparoscopic operation who had no distant metastases,adjacent organ invasion and non-cardia and pylorus infiltration confirmed by preoperative examination.The postoperative treatment,follow-up and the effect was observed.Results 48 patients included 22 males and 26 females,and mean age was 56 years old.The tumor diameter was 0.6-10.0 cm,in which 36 cases had tumor size ≥ 2 cm.12 cases of tumor occurred in gastric antrum,12 cases in gastric fundus,16 cases in anterior wall of gastric body,8 cases in posterior wall of gastric body.The mean operative time was 85 min,the mean operation blood loss was 65 ml,the postoperative average start eating time was 3 d,and the mean postoperative in-patient time was 7 d.All patients were followed up for 12-36 months.There were no local recurrence and distant metastasis and tumor-related deaths.Conclusions For the GST patients who have no distant metastases,adjacent organ invasion and non-cardia and pylorus infiltration,laparoscopic operation is safe and effective,which is not only applied to less than 2 cm diameter GST,but also to larger diameter tumor.