局解手术学杂志2016，Vol.25Issue(4)：279-282,4.DOI:10.11659/jjssx.12E015213
内镜黏膜下剥离术治疗胃间质瘤的远期疗效研究
Long-term outcomes of endoscopic submucosal dissection for gastric stromal tumors
摘要
Abstract
Objective To explore the long-term outcomes of endoscopic submucosal dissection (ESD) of gastric GISTs.Methods Data of 25 patients with gastric stromal tumors,who underwent ESD,were reviewed in terms of clinical characteristics,histopathologic results,complications and long-term outcomes.Results Twenty-five patients underwent one-time complete removal of lesion, with a average tumor size of 3.0 cm (range,0.6 to 7.6 cm).The average time of operation was 65 minutes (range,15 to 154 minutes).one case was observed with intraoperative hemor-rhage of 200 mL blood,which was successfully managed by hemostatic forceps.Perforation with incidence rate of 16%occurred in 4 cases and was closed well with clips.Mucosal mechanical laceration of esophagus occurred in 1 case when the big tumor was taken out.The average length of hospi-talization was 7.3 days (range,4 to 21 days).A follow-up for 30 months (range,13 to 54 months) showed no tumor recurrence or metastasis. Conclusion ESD is an effective and safe endoscopic procedure to remove gastric GISTs for long-term outcomes in patients with no metastasis.关键词
胃间质瘤/内镜黏膜下剥离术/远期疗效Key words
gastric stromal tumor/endoscopic submucosal dissection/long-term outcomes分类
医药卫生引用本文复制引用
於常吉,樊超强,于劲,谢霞,聂绪彪,刁鑫伟,刘恩,柏健鹰,杨仕明..内镜黏膜下剥离术治疗胃间质瘤的远期疗效研究[J].局解手术学杂志,2016,25(4):279-282,4.基金项目
重庆市科技攻关项目 （）
