摘要
胃肠间质瘤(gastrointestinal stromal tumors,GIST)是消化系最常见的间叶性肿瘤,其中60%-70%来源于胃.所有的GIST都具有恶性生物学行为潜能,可表现为微小病灶到进展性肉瘤.GIST极少发生淋巴结转移,术中无需常规行淋巴结清扫.正因为这些生物学特性,使得腹腔镜、内镜等微创手术的优势在GIST的手术治疗上得以充分体现.腹腔镜内镜联合技术的出现拓宽了微创手术治疗GIST的适用范围、提高了手术安全性.本文将介绍目前腹腔镜、内镜以及双镜联合技术在GIST治疗中的应用.
Gastrointestinal stromal tumors（GISTs）constitute the most common mesenchymal neoplasms of the gastrointestinal tract,among which 60%-70%are located in the stomach.All GISTs have malignant potential,varying from small lesions to aggressive sarcomas.Surgical resection with negative margins remains the best treatment for GISTs.Lymphadenectomy is not necessary because GISTs rarely metastasize to lymph nodes.Because of these biological behavior characteristics,the advantages of minimally invasive surgeries such as laparoscopic surgery and endoscopic surgery can be fully reflected in the surgical management of GISTs.The advent of laparoscopic and endoscopic cooperative surgery has broadened the scope and enhanced the safety of minimally invasive surgical treatment of GISTs.In this paper we will discuss the application of laparoscopy,endoscopy and laparoscopic and endoscopic cooperative surgery in the treatment of GISTs.
出处
《世界华人消化杂志》
CAS
2016年第30期4133-4143,共11页
World Chinese Journal of Digestology
关键词
胃肠间质瘤
腹腔镜
内镜
Gastrointestinal stromal tumors
Laparoscopy
Endoscopy
