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尾病变的内镜下膜剖析是可行的和安全的:一个回顾性多中心研究 (带视频)

Mariana Figueiredo¹, Clara Yzet¹, Timothée Wallenhorst²

¹Endoscopy and Gastroenterology Unit, Hôpital Edouard Herriot, Hospices Civils de Lyon, Lyon, France.

Gastrointestinal endoscopy

|June 28, 2023

概括

内镜下粘膜切割 (ESD) 为尾病变提供了一种安全有效的替代方案,实现了高的阻断和治愈切除率. 这种微创手术方法对许多患者来说是一个可行的选择,减少了手术的需要.

科学领域:

胃肠病学胃肠病学
手术瘤学手术瘤学
内镜手术进行内镜手术

背景情况:

尾病变对内镜下粘膜切割 (ESD) 提出了独特的挑战.
关于ESD对尾瘤的疗效和安全性的数据有限.

研究的目的:

为了评估尾病变的内镜下膜解剖 (ESD) 的结果.
为了确定R0,en-bloc和治愈切除率,以及不良事件.

主要方法:

一个多中心的前性注册表收集了关于尾瘤的ESD程序的数据.
关键的终点包括切除率 (R0,en-bloc,curative) 和不良事件率.

主要成果:

112名患者因尾瘤接受了ESD,其中42%的患者先前进行了尾切除.
在En-bloc和R0切除率分别为86.6%和80.4%.
在78.6%的病例中实现了治愈切除,其中14.3%需要额外的手术;4.5%经历了延迟穿孔.

结论:

内镜下粘膜切割 (ESD) 是对尾病变进行手术的潜在更安全和更有效的替代方案.
对于尾瘤,ESD显示出有利的切除率和可接受的并发症率.

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