Effects of Endoscopic Full-Thickness Resection Endoscopic Submucosal Dissection and Laparoscopic Surgery on Resection Rate and Complications of Gastric Lamina Propria Stromal Tumor
HUANG Kehua, YUAN Shengchun, ZHANG Zhen
Liaoyang Central Hospital, Liaoning Liaoyang 111000, China
Abstract：Objective: To explore the effects of endoscopic full-thickness resection (EFR), endoscopic submucosal dissection (ESE) and laparoscopic surgery on resection rate and complications of gastric lamina propria stromal tumor. Methods: The clinical data of 186 patients with gastric muscularis propria stromal tumor were retrospectively analyzed. 62 patients in the laparoscopic group were treated with laparoscopic surgery, 61 patients in the EFR group were treated with endoscopic full-thickness resection, and 63 patients in the ESE group were treated with endoscopic submucosal excavation treatment, and the study compared the operation time of the three groups, the average body temperature of 3 days after the operation, the total number of white blood cells on the day after the operation, the postoperative ventilation time, the hospitalization cost, the hospitalization time, the incidence of complications, and the resection rate. Results: There was no significant difference in operation time, total white blood cell count, average temperature of 3 days after operation, resection rate and complications among the three groups (P>0.05). The postoperative ventilation time and hospitalization time of EFR group and ESE group were shorter than those of laparoscopic group, and the hospitalization cost was less than that of laparoscopic group (P<0.05). The hospitalization cost of EFR group was shorter than that of ESE group (P<0.05). Conclusion: Laparoscopic surgery, ESE, EFR surgery can completely resect the lesion tissue of patients with gastric muscularis propria stromal tumor, but compared with laparoscopic surgery, endoscopic surgery has shorter hospitalization time and lower hospitalization cost, but endoscopic surgery is more complicated than laparoscopic surgery, so it is still necessary to choose reasonable surgical methods according to the actual situation of patients.
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2021, Vol. 27 
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