难以治愈结肠病变的Endocuff视觉辅助切除 - - 多中心前性随机试验研究的初步结果
Rossella Palma1, Gianluca Andrisani2, Gianfranco Fanello3
1Department of Surgery, "Sapienza" University of Rome, 00161 Rome, Italy.
在艰难的结肠多角切除术中,Endocuff视觉装置表现出足够的稳定性. 震动,一个新的参数,与切除难度和更长的手术时间相关,表明设备的有效性.
科学领域:
- 胃肠病学 胃肠病学
- 内視鏡外科手術 內視鏡外科手術
- 医疗器械技术 医疗器械技术
背景情况:
- 结肠直肠癌查计划旨在降低死亡率.
- 内镜视觉 (ECV) 是一种内镜装置,旨在提高腺瘤检测率.
- 困难的结肠多角切除术在稳定性和手术持续时间方面存在挑战.
研究的目的:
- 评估Endocuff Vision (ECV) 在改善内镜稳定性的有效性.
- 评估ECV对在困难的结肠多角切除术期间减少手术时间的影响.
- 调查内镜稳定性,切除难度和手术时间之间的相关性.
主要方法:
- 一个多中心随机的前性试点研究,比较ECV辅助和标准多眼切除术.
- 包括32名经历艰难结肠多角切除术的患者.
- 评估聚的特征 (大小,形态,部位,接入 - - SMSA),聚角切除时间和内镜稳定性 (震动).
主要成果:
- 两组之间没有患者人口统计学,临床特征,SMSA或多角切除时间的显著差异.
- 在内镜震动和SMSA之间发现了正相关性 (r = 0.55,p = 0.005).
- 内镜震动与多角切除时间有很强的相关性 (r = 0.745,p < 0.0001).
结论:
- 在具有挑战性的内镜切除过程中,Endocuff Vision似乎提供了足够的稳定性.
- 内镜震动是切除困难和延长手术持续时间的重要指标.
- 结肠直肠病毒可能有助于改善困难的结肠多角切除术的结果.
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