Totally Laparoscopic Surgery Combined with Intraoperative Removed Specimen Through Oral in Treatment for Gastric Stromal Tumor_CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Authors：

QIN Cheng , CHEN Yanlin , HE Deyun , QIN Wei

Department of Gastrointestinal Surgery， The Second People’s Hospital of Guangxi， Guilin 541002， Guangxi， China;

Corresponding author：

Keywords：

Laparoscope; Gastric stromal tumor; Natural channel

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Objective 　To discuss the clinical application of totally laparoscopic surgery combined with intraoperative removed the specimen through the oral in treatment for gastric stromal tumor.
Methods 　The clinical data of 20 patients diagnosed gastric stromal tumor and performed totally laparoscopic surgery combined with intraoperative removed the specimen through the oral in treatment for gastric stromal tumor from January 2007 to August 2009 in our hospital were analyzed retrospectively.
Results 　All the cases were performed successfully laparoscopic operation. The operation time was （110±35） min， intraoperative bleeding was （60±15） ml，postoperative hospital stay was （6.5±1.2） d. No postoperative complications occurred. There were 19 cases no relapse during 0.5-2.5 years with (1.8±0.2) years of follow-up. One patient with recurrence was performed the laparoscopic proximal subtotal gastrectomy.
Conclusions 　Totally laparoscopic surgery combined with intraoperative removed the specimen through the oral in treatment for gastric stromal tumor is safe， feasible， and minimally invasive for patients due to its clearness of dissection， less bleeding， and removed the specimen through natural channel.

Citation： QIN Cheng,CHEN Yanlin,HE Deyun,QIN Wei,.. Totally Laparoscopic Surgery Combined with Intraoperative Removed Specimen Through Oral in Treatment for Gastric Stromal Tumor. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2012, 19(8): 871-873. doi: Copy

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2.	余丽，刘勇. 胃肠间质瘤及其与EB病毒感染相关性的研究进展[J]. 临床与实验病理学杂志， 2010， 26(1)：93-96.
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13.	杨志奇，邵如庆. 胃大部切除术后上消化道大出血再次手术18例分析[J]. 腹部外科， 1993，6(2)：61.
14.	夏金城，赵顺林，李润龙，等. 胃大部切除胃肠吻合术式探讨－粘膜、粘膜下层连续外翻，浆肌层间断缝合技术[J]. 医学新知杂志， 2000， 10(4)：219， 221.
15.	吴国聪，张忠涛. 腹腔镜胃间质瘤的治疗进展[J]. 腹腔镜外科杂志， 2011， 16(4)：311-313.
16.	王港，付卫，王德臣，等. 腹腔镜与开腹胃间质瘤楔形切除的临床对比研究[J]. 中国微创外科杂志， 2010， 10(2)：126-129.
17.	Mohri Y. Prognostic significance of E-cadherin expression in human colorectal cancer tissue[J]. Surg Today， 1997， 27(7)：606-612.
18.	陈冰，黄文斌. CD44V6在结直肠癌中的表达及其临床意义[J]. 世界华人消化杂志， 2002， 10(4)：471-472.
19.	Wildbrett P， Oh A， Naundorf D， et al. Impact of laparoscopic gases on peritoneal microenvironment and essential parameters of cell function[J]. Surg Endosc， 2003， 17(1)：78-82.
20.	Takeuchi I， Ishida H， Mori T， et al. Comparison of the effects of gasless procedure， CO2-pneumoperitoneum， and laparotomy on splenic and hepatic natural killer activity in a rat model[J]. Surg Endosc， 2004， 18(2)：255-260.
21.	袁喜红，印慨，郑成竹. 腹腔镜CO2气腹对肿瘤种植转移影响的研究进展[J]. 腹腔镜外科杂志， 2007， 12(3)：259-262.
22.	Katon RM， Brendler SJ， Ireland K. Gastric linitis plastica with metastases to the colon：a mimic of Crohn’s disease[J]. Clin Gastroenterol， 1989， 11(5)：555-560.
23.	Jang HJ， Lim HK， Kim HS， et al. Intestinal metastases from gastric adenocarcinoma：helical CT findings[J]. J Comput Assist Tomogr， 2001， 25(1)：61-67.

1. D’Amato G， Steinert DM， McAuliffe JC， et al. Update on the biology and therapy of gastrointestinal stromal tumors[J]. Cancer Control， 2005， 12(1)：44-56.
2. 余丽，刘勇. 胃肠间质瘤及其与EB病毒感染相关性的研究进展[J]. 临床与实验病理学杂志， 2010， 26(1)：93-96.
3. Bareck E， Längle F， Zacherl J. Surgical treatment of gastrointestinal stromal tumors[J]. Wien Med Wochenschr， 2009， 159(15-16)：393-398.
4. Eisenberg BL， Judson I. Surgery and imatinib in the management of GIST：emerging approaches to adjuvant and neoadjuvant therapy[J]. Ann Surg Oncol， 2004， 11(5)：465-475.
5. 胡旭光，郑成竹，印慨，等. 腹腔镜胃间质瘤切除56例体会[J]. 腹腔镜外科杂志， 2008， 13(4)：284-285.
6. 印慨，郑成竹，柯重伟，等. 胃造口法腹腔镜胃后壁黏膜下肿瘤切除术的临床应用[J]. 中华胃肠外科杂志， 2004， 7(2)：127-129.
7. 张浩波，王灏，郑民华. 持续性CO2气腹影响腹腔镜手术切口肿瘤细胞种植的实验研究[J]. 中国普外基础与临床杂志， 2002， 9(1)：16-18.
8. Novitsky YW， Kercher KW， Sing RF， et al. Long-term outcomes of laparoscopic resection of gastric gastrointestinal stromal tumors[J]. Ann Surg， 2006， 243(6)：738-747.
9. Privette A， McCahill L， Borrazzo E， et al. Laparoscopic approaches to resection of suspected gastric gastrointestinal stromal tumors based on tumor location[J]. Surg Endosc， 2008， 22(2)：487-494.
10. 柯重伟. 腹腔镜胃楔形切除术治疗胃底部间质瘤[J]. 外科理论与实践， 2005， 10(5)：409-412.
11. Hepworth CC， Menzies D， Motson RW. Minimally invasive surgery for posterior gastric stromal tumors[J]. Surg Endosc， 2000， 14(4)：349-353.
12. 温仁祝，何巍，林辉，等. 全层外翻连续缝合在胃-食管吻合术中的应用[J]. 广西医科大学学报， 2002， 19(3)：367-368.
13. 杨志奇，邵如庆. 胃大部切除术后上消化道大出血再次手术18例分析[J]. 腹部外科， 1993，6(2)：61.
14. 夏金城，赵顺林，李润龙，等. 胃大部切除胃肠吻合术式探讨－粘膜、粘膜下层连续外翻，浆肌层间断缝合技术[J]. 医学新知杂志， 2000， 10(4)：219， 221.
15. 吴国聪，张忠涛. 腹腔镜胃间质瘤的治疗进展[J]. 腹腔镜外科杂志， 2011， 16(4)：311-313.
16. 王港，付卫，王德臣，等. 腹腔镜与开腹胃间质瘤楔形切除的临床对比研究[J]. 中国微创外科杂志， 2010， 10(2)：126-129.
17. Mohri Y. Prognostic significance of E-cadherin expression in human colorectal cancer tissue[J]. Surg Today， 1997， 27(7)：606-612.
18. 陈冰，黄文斌. CD44V6在结直肠癌中的表达及其临床意义[J]. 世界华人消化杂志， 2002， 10(4)：471-472.
19. Wildbrett P， Oh A， Naundorf D， et al. Impact of laparoscopic gases on peritoneal microenvironment and essential parameters of cell function[J]. Surg Endosc， 2003， 17(1)：78-82.
20. Takeuchi I， Ishida H， Mori T， et al. Comparison of the effects of gasless procedure， CO2-pneumoperitoneum， and laparotomy on splenic and hepatic natural killer activity in a rat model[J]. Surg Endosc， 2004， 18(2)：255-260.
21. 袁喜红，印慨，郑成竹. 腹腔镜CO2气腹对肿瘤种植转移影响的研究进展[J]. 腹腔镜外科杂志， 2007， 12(3)：259-262.
22. Katon RM， Brendler SJ， Ireland K. Gastric linitis plastica with metastases to the colon：a mimic of Crohn’s disease[J]. Clin Gastroenterol， 1989， 11(5)：555-560.
23. Jang HJ， Lim HK， Kim HS， et al. Intestinal metastases from gastric adenocarcinoma：helical CT findings[J]. J Comput Assist Tomogr， 2001， 25(1)：61-67.

CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Totally Laparoscopic Surgery Combined with Intraoperative Removed Specimen Through Oral in Treatment for Gastric Stromal Tumor

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