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胃肠间质瘤(gastrointestinal stromal tumor,GIST)可以发生于消化道从食管到直肠的任何一个部位,是消化道最常见的间叶组织源性肿瘤。外科手术是GIST首选的治疗方式。单纯腹腔镜手术对于瘤体较小或未侵及浆膜面的胃间质瘤存在着术中定位不准的缺陷。近年来,双镜联合治疗GIST的理念已被越来越多的外科医师所接受。胃镜的优势在于能够较好的观察胃肠道黏膜面的情况并准确定位,在手术中还可以观察肿瘤是否被完整切除。当完成吻合后,还可以明确是否存在吻合口漏。对于瘤体较小的胃间质瘤,单纯内镜或单纯腹腔镜手术均难以达到理想效果,两者联合,则能在发挥各自优势的同时,弥补各自缺点。
Gastrointestinal stromal tumor (GIST) can occur in any part of the digestive tract from the esophagus to the rectum and is the most common mesenchymal tumor in the digestive tract. Surgery is the preferred treatment for GIST. Simple laparoscopic surgery for small tumor or non-invasion of serosal surface of the stromal tumor exists in the positioning of the defect. In recent years, the concept of double mirror combined treatment of GIST has been accepted by more and more surgeons. Gastroscopy has the advantage of being able to better observe the situation of the gastrointestinal mucosa and accurate positioning of the tumor can be observed during surgery can be completely removed. When the completion of anastomosis, but also can be clear whether there is anastomotic leakage. For the small tumor of gastric stromal tumors, simple endoscopic or laparoscopic surgery alone are difficult to achieve the desired effect, the two combined, they can play their respective advantages, while making up for their shortcomings.