Serosal and muscular layers incision and use of submucosal layers exfoliation technique in laparoscopic surgery for gastric gastrointestinal stromal tumors
10.3760/cma.j.issn.1007-631X.2019.11.013
- VernacularTitle: 腹腔镜下胃壁浆肌层环周切开加黏膜层外剥离技术治疗胃间质瘤
- Author:
Jianming XIE
1
;
Moucheng ZHANG
1
;
Yongfang YIN
1
;
Zhiping ZHANG
1
;
Jiaming ZHOU
1
;
Zhilong YAN
1
Author Information
1. Department of Gastrointestinal Surgery, Ningbo First Hospital, Ningbo 315000, China
- Publication Type:Journal Article
- Keywords:
Gastric gastrointestinal stromal tumors;
Laparoscopy;
Operative procedures, surgical
- From:
Chinese Journal of General Surgery
2019;34(11):956-958
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the feasibility and clinical efficacy of serosal muscular layers incision and submucosal layers exfoliation technique in laparoscopic surgery for gastric gastrointestinal stromal tumors(GIST).
Methods:28 patients with gastric GIST underwent serosal muscular layers incision and submucosal layers exfoliation technique under laparoscopic surgery. Patients′clinicopathologic characteristics, operative outcomes, postoperative complications, and follow up results were analyzed retrospectively.
Results:Surgery was successfully completed in all patients, and no one was converted to open surgery.The average operation time was (66±15) min, and the intra operative blood loss was (16±10) ml, the time of passage of gas by anus after operation was (20±10)h, the time starting liquid diet was(2.5±1.6)d, and the length of postoperative hospital stay was (7±3)d. One patient had delayed gastric emptying, one had incisional infection. All the specimen had complete pseudocapsule and negative margin. pathology was all gastric GIST. After a median 22 months followed up, no recurrence or metastasis were found.
Conclusion:Serosal muscular layers incision and submucosal layers exfoliation under laparoscopic surgery is a safe and feasible procedure for treating gastric GIST.
