Abstract:
Objective To analyze the prognosis and safety of dual-scopy combined treatment of gastric stromal tumors.
Methods The clinical data of 119 patients with gastric stromal tumors from March 2014 to October 2017 were retrospectively analyzed. The patients were divided into combined group（n=56 cases，Gastroscope combined with laparoscopy）and laparoscopy group（n=63 cases）. SPSS23.0 software was used for data processing. Perioperative indicators were expressed as（
±
s），independent t-test was used. Postoperative malignant potential classification，mitotic figures，and complication rate were tested by
χ2 test. The survival rate was tested by Kaplan-meier method.
P<0.05 was considered statistically significant.
Results The operation time and intraoperative blood loss in the combined group were lower than those in the laparoscopic group（P<0.05）；the total incidence of postoperative complications in the combined group（3.6%）was lower than that in the laparoscopic group（15.9%）（P<0.05）；There were no significant differences in the first postoperative exhaust time，first defecation time，hospitalization time，postoperative malignant potential classification，results of mitotic figures and 2-year survival rate between the two groups（P>0.05）.
Conclusion The postoperative survival rate of patients with gastric stromal tumor is similar to that of patients with laparoscopic and dual endoscopic combined treatment. However，the dual endoscopic combined treatment of gastric stromal tumor has the advantages of rapid localization，less blood loss，short operation time and fewer complications.
Key words:
Gastrointestinal stromal tumor,
Laparoscopes,
Gastroscopes,
Postoperative complications,
Prognosis
Peijie Liu. Prognosis and safety analysis of double mirror combined therapy for gastric stromal tumor[J]. Chinese Journal of Operative Procedures of General Surgery(Electronic Edition), 2022, 16(01): 107-110.