腹腔镜方法作为治疗大胃GIST可接受吗?
Antoine Mariani1,2, Melinda Bajul3, Lionel Rebibo3
1Department of Digestive Surgery, Université Paris Cité, Assistance Publique Hôpitaux de Paris, Georges Pompidou University Hospital, Paris, France. antoine.mariani@aphp.fr.
腹腔镜手术对于5厘米以上的大型胃肠道 stromal 瘤 (GIST) 是一个安全的选择. 与开放手术相比,这种方法可以提供更短的住院时间,而不会影响瘤的结果.
科学领域:
- 手术瘤学手术瘤学
- 胃肠道手术 胃肠道手术
背景情况:
- laparoscopic手术是标准用于小胃GISTs (≤5厘米).
- 对于较大的胃GIST (>5厘米) 的使用,仍有争议.
- 这项研究比较了腹腔镜与大胃GISTs的开放切除.
研究的目的:
- 为了比较腹腔镜与胃GISTs>5厘米的开放切除的短期和长期结果.
主要方法:
- 对108名胃GIST大于5厘米 (2000-2021) 的患者进行了回顾性分析.
- 从前性维护的记录中收集的数据.
- 用于生存分析的卡普兰-梅尔方法和日志排名测试.
主要成果:
- 59名患者接受了微创手术,49人接受了开放式手术.
- 心脏梗塞手术组的医院住院时间中位数显著缩短 (4 vs 7 天).
- 整体发病率,R0切除率,瘤破裂或复发率在MI和开放手术组之间没有显著差异.
结论:
- 腹腔镜手术是大胃GIST (>5厘米) 的安全和可行的替代方案.
- 最少侵入性手术在不影响瘤学结果的情况下提供了好处.
- laparoscopic 方法不是对无病生存的负面预后因素.
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