Laparoscopic or robotic serosa muscular layer circumferential incision combined with mucosal layer cutting and closure for gastrointestinal mesenchymal tumors at difficult sites of the stomach
10.3760/cma.j.cn113855-20220205-00066
- VernacularTitle:腹腔镜或机器人下胃壁浆肌层环周切开加黏膜层切割闭合技术在胃特殊部位间叶源性肿瘤中的应用
- Author:
Honghai GUO
1
;
Yiyang HU
;
Peigang YANG
;
Yuan TIAN
;
Dong WANG
;
Zhidong ZHANG
;
Xuefeng ZHAO
;
Ping'an DING
;
Yang LIU
;
Yong LI
;
Qun ZHAO
Author Information
1. 河北医科大学第四医院外三科 河北省胃癌精准诊断与综合治疗重点实验室，石家庄050011
- Keywords:
Stomach neoplasms;
Laparoscopy;
Robot
- From:
Chinese Journal of General Surgery
2022;37(11):817-820
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To evaluate the use of serosa muscular layers circumferential incision combined with mucosal layer cutting and closure by laparoscopic or robotic surgery for gastrointestinal mesenchymal tumors at difficult sites of the stomach.Methods:From Jul 2019 to Apr 2021, 18 gastric mesenchymal tumor patients undergoing serosa muscular layers circumferential incision combined with mucosal layer cutting and closure by laparoscopic or robotic surgery at the Department of Surgery, the Fourth Hospital of Hebei Medical University were retrospectively analyzed.Results:All 18 patients had successful surgery, including 7 cases of robotic surgery, 11 cases of laparoscopic surgery, and there was no conversion to open surgery. Tumors were at the gastric in cardia, 8 cases at the gastric body and lesser curvature in 4 cases, and at the gastric antrum in 6 cases, respectively. Eleven cases were of endogenous and 7 cases were of dumbbell type. The average operation time was (99±29) min, the intraoperative blood loss was (10±5) ml, the first time taking food per mouth was (2.0±1.0) d, and the postoperative hospital stay was (4.9 ± 1.2) d. Pathology showed gastrointestinal stromal tumor in 11 cases, leiomyoma in 5 cases and schwannoma in 2 cases. All were with negative margins. The average tumor diameter was (4.7±1.4) cm. The median follow-up time was 16.5 months, and there was no sign of tumor recurrence or metastasis.Conclusion:The serosa muscular layers circumferential incision combined with mucosal layer cutting and closure technique in laparoscopic or robotic surgery is a safe and feasible procedure for treating gastrointestinal mesenchymal tumor at difficult sites of the stomach.
