Clinical application of total endoscopic resection of gastric stromal tumors with cosmetic suture reconstruction
10.3760/cma.j.cn431274-20230830-00191
- VernacularTitle:完全腔镜胃间质瘤切除术后整形缝合重建术的临床应用
- Author:
Xufan CAI
1
;
Yuanyu WANG
;
Zaiyuan YE
Author Information
1. 浙江中医药大学研究生院，杭州 330022
- Keywords:
Gastric stromal tumors;
Laparoscopy;
Gastrectomy;
Digestive tract reconstruction
- From:
Journal of Chinese Physician
2023;25(10):1449-1452
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the clinical efficacy of total endoscopic resection of gastric stromal tumors with cosmetic suture reconstruction.Methods:The data of 18 patients who underwent total laparoscopic resection of gastric stromal tumors with cosmetic suture reconstruction from December 2020 to May 2023 in Zhejiang Provincial People′s Hospital were collected retrospectively, and their clinical efficacy was analyzed.Results:Twelve patients were asymptomatic and the tumor was found during physical examination. All patients underwent total endoscopic resection of gastric stromal tumors with cosmetic suture reconstruction without conversion to open surgery. The time to resume liquid diet was 1-3(1.67±0.35)days, the postoperative hospital stay was 4-12(6.89±2.54)days, and no postoperative complications occurred. Among them, 12 cases were at low risk and 6 cases were at medium risk. CD117 and DOG-1 were positively expressed in all cases. Four out of six patients at medium risk underwent genetic testing, and two patients with c-Kit gene Lys550-Val560 mutation were treated with Gleevec therapy after surgery. Gastrography performed one month after surgery showed that the shape of the stomach was similar to the preoperative shape, with good motility and unimpeded emptying.Conclusions:Total laparoscopic resection of gastric stromal tumors combined with cosmetic suture reconstruction can reduce postoperative gastrointestinal dilatation, esophageal and pyloric stenosis, and has a certain clinical value.
