[Laparoscopic wedge resection for gastrointestinal stromal tumour: a case report].

Chirurgia italiana Pub Date : 2009-01-01
Marco Milone, Osvaldo Micera, Francesco Milone
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Abstract

Surgical resection is the main and most effective treatment for gastrointestinal stromal tumours (GISTs) and for all benign gastric tumours. All such tumours should be approached with the intention of performing complete en bloc removal of the tumour, achieving microscopically tumour-free pathological resection margins. More extensive surgery fails to guarantee better results over time. Consequently, wedge resection of the stomach ensures adequate therapy. Our personal experience with laparoscopic wedge resection for a gastrointestinal stromal tumour is described, demonstrating equivalent efficacy, greater safety, and applicability, and better postoperative results with this surgical approach.

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腹腔镜楔形切除术治疗胃肠道间质瘤1例。
手术切除是胃肠道间质瘤(gist)和所有良性胃肿瘤的主要和最有效的治疗方法。所有这样的肿瘤都应该进行完全的整体切除,以达到显微镜下无肿瘤的病理切除边缘。随着时间的推移,更广泛的手术并不能保证更好的结果。因此,楔形胃切除术确保了充分的治疗。我们描述了腹腔镜楔形切除术治疗胃肠道间质瘤的个人经验,证明了这种手术方法的同等疗效,更大的安全性和适用性,以及更好的术后效果。
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