The application of laparoscopy combined with gastroscopy in the treatment of gastric stromal tumor / 临床外科杂志

ABSTRACT

Objective To investigate the clinical efficacy of laparoscopy combined with gastroscopy in the treatment of gastric stromal tumors.Methods A retrospective analysis was conducted on the clinical data of 30 cases who received gastric gastrointestinal surgery from August 2013 to April 2016.Among the 30 cases,18 cases(Double mirror group)were received surgery by laparoscopy combined with gastroscopy,12 cases (laparotomy group)were underwent traditional open surgery.The general data,operation time,blood loss,hospitalization time,abdominal volume,postoperative complications,hospitalization expenses and 1-year recurrence rate were compared between the two groups.Results There were no deaths in the two groups,and the general data had no significant difference between the two groups (P ＞ 0.05).The bleeding volume,operation time,peritoneal drainage,hospitalization time,hospitalization expenses of the double mirror group were (45.6 ± 12.2) ml,(121.9 ± 24.5) min,(91.2 ± 14.6) ml,(8.4 ± 2.3) d,(34591.2 ± 3434.6) yuan,and those of laparotomy group were (65.6 ± 14.3) ml,(94.7 ± 18.5) min,(117.9 ± 22.5) ml,(11.3 ± 3.4) d,(25374.3 ± 2930.3) yuan,the difference between the two groups was statistically significant(P ＜ 0.05).One case with complications was found in the double mirror group,and the incidence rate was 5.56％.Five cases with complications were found in the laparotomy group,and the incidence rate was 41.67％,the difference was statistically significant(x2 =6.354,P =0.001).After 1 year,three cases ofrecurrences were found in the double mirror group,and 2 cases in the laparotomy group,there was no significant difference between the two groups (x2 =0,P =0.485).Conclusion The method of laparoscopic combined with gastroscopy can give full play to their advantages,and has the advantages of fast and accurate positioning,fast recovery and accuracy curative effect in the resection of gastric stromal tumors.