The Clinical Value Of Endoscopic Assisted Laparoscopy In The Treatment Of Gastric Stromal Tumors

Objectives:Gastric stromal tumor is the most common mesenchymal tumors of the digestivetract.Surgery is the treatment of choice for gastric stromal tumors. Endoscopic assistedlaparoscopy is gradually carried out as a surgical procedure in the treatment of gastricstromal tumors in the recent years, we want to investigate the safety and efficacy in thetreatment of gastric stromal tumor of endo-laparoscopic cooperation.Methods:We analyzed the clinical and pathological characteristics of24patients receivingendo-laparoscopic cooperation group and38patients receiving open resection in The firstaffiliated hospital of Soochow University, such as age, tumor size, operation duration,blood loss, postoperative feeding time, postoperative hospital stay， complications,post-operation pathological features and follow-up data using statistical software such ascomparative analysis of the efficacy.Results:1.62patients, male28cases (45.2%), female34cases (54.8%), the endo-laparoscopiccooperation group age group42-77years, mean age (62.4±11.5) years old, the openresection group age group26-79years, mean age (63.3±11.7) years; dual lens tumordiameter2-7cm, the average tumor diameter (4.0±1.5) cm, abdominal tumor diameter2-11cm, the average tumor diameter (4.6±2.1) cm. 2. The endo-laparoscopic cooperation average operative time (94.8±21.2) min, Bloodloss (16.7±6.7) ml, Postoperative hospital eating time (1.5±0.7) d, Postoperative hospitalstay (2.8±0.6) d; Laparotomy group, the average operative time (101.1±36.9) min, Bloodloss (83.3±55.8) ml, Postoperative hospital eating time (4.7±2.8) d, Postoperative hospitalstay8.9±5.3) d.3. The open resection group one case of postoperative anastomotic fistula, one case ofgastrointestinal bleeding, two cases of postoperative wound infection; the endo-laparoscopic cooperation group no significant postoperative complications.4. Patients were followed up5-39months, with a median follow-up of15months, theendo-laparoscopic cooperation group,5patients at high risk,1case of loss of follow-up,1patient with liver metastases occur in May, is currently with survival; double mirrorhigh-risk groups2patients, no missing follow-up, tumor metastasis and recurrence, deathcases.Conclusion:1. The endo-laparoscopic cooperation group contrast no significant difference in termsof operation time the open resection,but the blood loss, postoperative feeding time,postoperative hospital stay better than open resection group.2. Endoscopic assisted laparoscopic treatment of gastric stromal tumors is safe andfeasible, and to better effect than open resection surgery.