Long-term outcome of laparoscopic wedge resection for gastric submucosal tumor compared with open wedge resection
Long-term outcome of laparoscopic wedge resection for gastric submucosal tumor compared with open wedge resection
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DOI：
10.1097/00129689-200604000-00005
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发表时间：
2006-04-01
影响因子：
1
通讯作者：
Kitano, S
中科院分区：
文献类型：
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作者：
Ishikawa, K;Inomata, M;Kitano, S
腹腔镜楔形切除术（LWR）与传统开放楔形切除术（OWR）治疗胃粘膜下肿瘤的疗效比较知之甚少。研究了1993年至2004年间接受LWR（n = 14）或OWR（n = 7）治疗胃粘膜下肿瘤的21例患者的结局。比较两组的近期和远期手术效果。胃粘膜下肿瘤的LWR显示了几个优势：失血量少，第1天发热较低，镇痛剂使用率较低，术后首次排气和口服时间较早，第1天和第7天白细胞计数较低，第1天和第3天C反应蛋白水平较低。除2例组织学诊断为高危胃肠道间质瘤外，所有患者均在平均60个月的随访期内存活。LWR是治疗胃粘膜下肿瘤的可行方法。
Little is known about the outcomes of laparoscopic wedge resection (LWR) in comparison with conventional open wedge resection (OWR) for gastric submucosal tumor. Outcomes of 21 patients who underwent LWR (n = 14) or OWR (n = 7) for gastric submucosal tumor between 1993 and 2004 were investigated. We compared the short-term and long-term operative results between the 2 groups. LWR showed several advantages over OWR for gastric submucosal tumor: less blood loss, lower fever on day I, lower analgesic usage rate, earlier first postoperative flatus and oral intake, lower leukocyte count on days 1 and 7, and lower C-reactive protein level on days 1 and 3. All patients, except 2 with histologically diagnosed high-risk gastrointestinal stromal tumor, survived during the mean follow-up period of 60 months. LWR is feasible for the management of patients with gastric submucosal tumor.