Clinical application of intraoperative ultrasound localization in laparoscopic surgery for non extraluminal gastrointestinal stromal tumors
10.3760/cma.j.cn431274-20240705-01040
- VernacularTitle:术中超声定位在非腔外生长的胃肠间质瘤腹腔镜手术中的临床应用
- Author:
Weifeng WANG
1
;
Fang WU
;
Xufan CAI
;
Xiao ZHANG
;
Zaiyuan YE
Author Information
1. 武义县中医院外科，武义 321200
- Keywords:
Gastrointestinal stromal tumors;
Laparoscopy;
Ultrasonography
- From:
Journal of Chinese Physician
2024;26(8):1133-1136
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the application value of intraoperative ultrasound localization in laparoscopic surgery for non extraluminal gastrointestinal stromal tumors.Methods:A retrospective analysis was conducted on the clinical data of 13 patients with non extraluminal gastrointestinal stromal tumors treated with laparoscopic surgery at Zhejiang Provincial People′s Hospital from January 2023 to March 2024. Ultrasound localization was used during the surgery. An analysis was conducted on indicators such as the patient′s surgical approach, surgical duration, intraoperative blood loss, time of first postoperative meal intake, length of hospital stay, and incidence of postoperative complications.Results:Among the 13 patients, there were 7 males and 6 females, and all patients successfully completed the surgery. The operation time was (71.54±19.51)minutes, the intraoperative blood loss was (20.0±16.8)ml, the first postoperative feeding time was (3.08±1.38)days, and the postoperative hospitalization time was (6.92±2.69)days. All 13 patients did not undergo conversion to open surgery during the operation, and the operation was smooth. There was no major bleeding or iatrogenic injury during the operation. There was no bleeding, abdominal infection, anastomotic fistula, anastomotic stenosis, etc. after the operation. There were no unplanned cases of reoperation, and all recovered well and were discharged smoothly. There were no discomfort symptoms during the 3-month follow-up after the operation.Conclusions:Intraoperative ultrasound can accurately locate tumors in laparoscopic non cavity growth gastrointestinal stromal tumor surgery, which is beneficial for the smooth progress of the surgery and the formulation of surgical strategies, and has obvious safety and reliability.
