Comparison between endoscopy and laparoscopy in resection of gastric stromal tumor
10.3760/cma.j.issn.1007-5232.2014.02.003
- VernacularTitle:内镜与腹腔镜切除胃间质瘤的临床对比研究
- Author:
Fuchao LI
;
Dongtao SHI
;
Xiaojun ZHOU
;
Rui LI
;
Zhongqi MAO
;
Weichang CHEN
- Publication Type:Journal Article
- Keywords:
Gastric stromal tumor;
Endoscopes;
Laparoscopes
- From:
Chinese Journal of Digestive Endoscopy
2014;31(2):69-71
- CountryChina
- Language:Chinese
-
Abstract:
Objective To compare the feasibility and safety of endoscopy with laparoscopy and without for gastric stromal tumor.Methods A retrospective and comprehensive analysis was made based on the clinical data of endoscopic (53 cases) and laparoscopic (39 cases) resection for gastric stromal tumor (diameter ＜ 3 cm with clear boundary),by comparing the operation time,intraoperative blood loss,indwelling time of postoperative gastric tube,recovery time of bowel functions,postoperative complications,hospitalization time,metastasis,recurrence rate.Results Compared with the laparoscopic group,the endoscopic group required shorter operation time [50(48-58) min VS 70 (50-95) min,U =1575.00,P ＜ 0.01],less intraoperative blood loss [10 (5-15) ml VS 20 (20-30) ml,U =1794.00,P ＜ 0.01],earlier recovery of bowel functions [18 (8-36) h VS 24 (20-40) h,U =1666.00,P ＜ 0.01],hospitalization time,indwelling time of the postoperative gastric tube and postoperative complications showed no statistical difference (P ＞ 0.05).The postoperative follow-up time were (27 + 15) and (24 + 11) months in the endoscopic and laparoscopic group,respectively (t =0.3084,P ＞ 0.05).During the follow-up,no tumor recurrence or distant metastasis was discovered,nor was death of gastric stromal tumor.Conclusion Endoscopy without the assist of laparoscopy for the gastric stromal tumor,whose diameter is less than 3 cm with clear boundary,is safe and less invasive,and leads to quick recovery.
