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一个修改的暴露内镜全厚切除:在缺陷关闭过程中进行引辅助切除.

Nan Ru1, Long Song Li1, Ya Wei Bi1

  • 1Department of Gastroenterology, The First Medical Center of Chinese People's Liberation Army General Hospital, Beijing, China.

Journal of digestive diseases
|June 10, 2023
PubMed
概括

一种经过修改的引辅助暴露内镜全厚切除 (Eo-EFTR) 技术简化了胃下粘膜瘤 (SMT) 的切除和缺陷关闭. 这种安全而实用的方法显示出广泛临床应用的前景.

关键词:
内镜全厚切除切除术通过内镜检查 (endoscopy) 进行内镜检查胃下粘膜瘤 胃下粘膜瘤引力 引力 引力 引力

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科学领域:

  • 胃肠病学 胃肠病学
  • 手术瘤学手术瘤学
  • 内視鏡外科手術 內視鏡外科手術

背景情况:

  • 暴露内镜全厚切除 (Eo-EFTR) 对胃下粘膜瘤 (SMTs) 有效.
  • 挑战包括可视化不良,瘤移位和难以关闭缺陷.
  • 这些限制阻碍了Eo-EFTR的广泛采用.

研究的目的:

  • 描述一个修改的引辅助Eo-EFTR技术.
  • 为了简化胃SMT的解剖和缺陷关闭.
  • 评估这种修改方法的安全性和有效性.

主要方法:

  • 在19名患有胃SMT的患者身上进行了修改的引辅助Eo-EFTR.
  • 一个带有牙线的剪贴被用于切除瘤的引力.
  • 这方便了V形缺陷重塑,以更轻松地关闭剪贴,交替切割.

主要成果:

  • 在所有病例中都实现了完整的瘤切除 (R0).
  • 平均手术时间为43分钟.
  • 没有严重的不良事件;轻微的短暂症状 (发烧,疼痛) 迅速消失.
  • 在30.1个月的随访期间没有复发.

结论:

  • 经过修改的引辅助Eo-EFTR技术是安全和实用的.
  • 它简化了胃SMT切除和缺陷关闭.
  • 这种方法有可能对Eo-EFTR进行广泛的临床应用.