Objective To discuss the clinical application of totally laparoscopic surgery combined with intraoperative removed the specimen through the oral in treatment for gastric stromal tumor. Methods The clinical data of 20 patients diagnosed gastric stromal tumor and performed totally laparoscopic surgery combined with intraoperative removed the specimen through the oral in treatment for gastric stromal tumor from January 2007 to August 2009 in our hospital were analyzed retrospectively. Results All the cases were performed successfully laparoscopic operation. The operation time was （110±35） min， intraoperative bleeding was （60±15） ml，postoperative hospital stay was （6.5±1.2） d. No postoperative complications occurred. There were 19 cases no relapse during 0.5-2.5 years with (1.8±0.2) years of follow-up. One patient with recurrence was performed the laparoscopic proximal subtotal gastrectomy. Conclusions Totally laparoscopic surgery combined with intraoperative removed the specimen through the oral in treatment for gastric stromal tumor is safe， feasible， and minimally invasive for patients due to its clearness of dissection， less bleeding， and removed the specimen through natural channel.
目的探討腹腔鏡在腹部外傷并胃腸道損傷中的診治作用。 方法對我院2005年1月至2010年6月期間60例行腹腔鏡手術治療的腹部外傷并胃腸道損傷患者的臨床資料，以及腹腔鏡手術入路及術中處理情況進行回顧性分析。 結果60例患者均經腹腔鏡手術證實為胃腸道損傷，根據損傷的具體情況，行完全腹腔鏡手術20例、腹腔鏡下輔助手術40例，其中行胃腸穿孔修補術45例,腸段切除術15例。 所有患者均順利完成手術，無術后胃腸道瘺和腹腔出血情況，有2例患者術后出現切口感染，經換藥后治愈。 結論 腹腔鏡在腹部外傷并胃腸道損傷方面的診斷價值確切，治療效果滿意，避免了不必要的剖腹手術，且創傷小，是一種安全、合理的手術方式。