胃大出血 GIST 腹腔镜胃部分切除术：病例报告

胃肠道间质瘤 (GIST) 是罕见的肿瘤，通常位于胃部。 择期腹腔镜手术是行之有效的治疗方法。 这些肿瘤通常表现为急性胃肠道出血和/或大肿块，难以进行微创腹腔镜手术。 本文描述一例大胃GIST伴出血发作的病例，探讨急诊腹腔镜手术的可行性和安全性。

一名 36 岁男性因黑便和严重贫血就诊。 上消化道内镜和腹部 CT 扫描显示靠近脾上极的胃底粘膜下巨大肿块，直径超过 10 厘米。 由于复发性出血，他接受了紧急腹腔镜检查，通过部分胃切除术完全切除了胃肿块。

大于 10 cm 的 GIST 腹腔镜手术仍然是一项具有挑战性的手术任务，可行性取决于多种因素，包括病变的位置和大小。 文献中描述的患者很少。 该病例描述了一个巨大的胃肠道间质瘤，伴有严重的复发性胃肠道出血，导致采用微创腹腔镜胃部分切除术进行紧急手术。

本报告描述了一例巨大胃 GIST，表现为反复和严重的消化道出血，并通过紧急腹腔镜胃切除术进行治疗。 讨论了手术技术的可行性和优势。 这些罕见病例的最佳手术方法仍需根据个体情况进行评估。

胃大出血 GIST 腹腔镜胃部分切除术：病例报告

CT 扫描显示有外生性生长的胃肿块。

胃大出血 GIST 腹腔镜胃部分切除术：病例报告

解剖前胃肿块的腹腔镜视图。

胃大出血 GIST 腹腔镜胃部分切除术：病例报告

完全腹腔镜切除肿块。

胃大出血 GIST 腹腔镜胃部分切除术：病例报告

切除标本显示有坏死和出血区域。

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