在内支柱癌症的内镜管理方面的进展
Gaetana Messina1, Davide Gerardo Pica1, Giuseppe Vicario1
1Thoracic Surgery Unit, University of Campania "Luigi Vanvitelli", 80131 Naples, Italy.
Journal of clinical medicine
|August 26, 2023
概括
在不适合进行手术的患者中,支气管内膜治疗有效地消除支气管癌类瘤. 这种微创手术方法为传统手术方法提供了有效的替代方案,在某些情况下显示了可比的结果.
科学领域:
- 肺部病理学 肺部病理学
- 胸部外科手术 胸部外科手术
- 在瘤学瘤学.
背景情况:
- 支气管癌 (BC) 瘤是一种罕见的肺瘤,占所有肺癌的1-5%.
- BC瘤被分为典型的和非典型的亚型.
- 目前正在探索内镜治疗作为BC手术的替代方案.
研究的目的:
- 审查支气管癌类瘤内镜治疗的疗效.
- 评估内支气管治疗作为选择的BC患者手术的替代方案.
主要方法:
- 这是一项追溯的多中心研究,涉及35名BC患者,他们在2012年至2022年期间接受治疗.
- 患者接受了结合的刚性和柔性支气管镜检查.
- 瘤清除使用了阿贡血凝固,图勒普激光,机械脱bridement,和子切除.
主要成果:
- 在所有患者中,通过内支气管治疗,完全消除了瘤.
- 两名患者经历了受控的出血并发症; 一名患者在随访期间死于功能衰竭.
- 在两名非典型癌症患者中观察到复发;与手术治疗相比,结果没有显著差异 (p > 0.05).
结论:
- 支气管内膜治疗是支气管癌患者不适合手术的安全有效替代方案.
- 最少侵入性内镜手术为选定的BC病例提供了可行的治疗选择.
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