| Objective To compare the clinical efficacy of hand-assisted laparoscopy and laparoscopy in the treatment of gastric stromal tumors, and to explore the clinical application value of hand-assisted laparoscopy in the treatment of gastric stromal tumors. Methods The clinical data of 53 patients with gastric stromal tumors in the First Affiliated Hospital of University of Science and Technology of China from December 2016 to December 2020 were retrospectively analyzed. Patients were divided into the hand-assisted laparoscopy group (n=17) and laparoscopy group(n=36) depended on the procedure. The operative time, intraoperative blood loss, maximum tumor margin intraoperative ulceration, time to first flatus, time to ambulation, time to first liquid intake, postoperative hospital stay, postoperative complications, hospital costs and survival outcome were compared between the two groups. Results The maximum margin of the hand-assisted laparoscopic group was (2.28±0.93) cm, less than that of the laparoscopic group, and the surgical time was (70.59±19.05) min, shorter than that of the laparoscopic group with statistically significant difference(P<0.05); the intraoperative bleeding was(58.33±20.38) mL, less than that of laparoscopic group, postoperative ventilation time was(2.72±0.45) d, postoperative getting out-of-bed time was(1.61±0.55) d, and postoperative feeding time was(5.47±0.51)d, which were all less than those of the laparoscopic group, and the differences were statistically significant(P<0.05).Conclusions Compared with laparoscopic surgery, the operation time of hand-assisted surgery for gastric messtioma is short, the patient's postoperative recovery is faster, and it can effectively retain more normal gastric tissue without increasing postoperative complications. |
