Comparison between endoscopy and laprotomy in resection of gastric stromal tumor
10.3760/cma.j.issn.1007-5232.2016.05.010
- VernacularTitle:内镜切除与开腹手术治疗胃间质瘤的临床对比研究
- Author:
Yanqi LIU
;
Honggang YU
- Publication Type:Journal Article
- Keywords:
Gastric stromal tumor;
Endoscopes;
Operative
- From:
Chinese Journal of Digestive Endoscopy
2016;33(5):312-315
- CountryChina
- Language:Chinese
-
Abstract:
Objective To compare the efficacy and safety of endoscopy and laprotomy for gastric stromal tumor,and to evaluate the clinical value of endoscopy.Methods A retrospective analysis was made based on the clinical data of 142 patients with gastric stromal tumor(diameter＜3 cm with clear boundary),with 83 patients who underwent endoscopic resection assigned to the endoscopy group,and 59 patients who underwent laprotomic resection to the operation group.The clinical and pathological data in both groups were analysed and the safety,perioperative situation and prognosis of two groups were compared.Results Compared with the laprotomy group,the endoscopy group required the same time,[(88.25±12.18) min VS (90.15±10.25) min,P=0.367],yielded to less intraoperative blood loss[(42.15±22.13) ml VS (140.55±35.66) ml,P＜0.01],early postoperative feeding[(2.30± 1.20) d VS (5.40± 1.28) d,P＜0.01],and shorter postoperative hospital stay [(5.43± 1.78) d VS (9.42± 1.65) d,P＜0.01].Follow-up was performed in two groups for 5-55 months (median,30 months),with no recurrence or metastasis.Conclusion Compared with surgery,endoscopic therapy is safe and effective for the gastric stromal tumor,whose diameter is less than 3 cm with clear boundary.
