在经验较少的内镜医生进行胃内镜下粘膜解剖时,用牙线剪贴拉动的说明
Hirosato Tamari1, Shiro Oka2, Takahiro Kotachi3
1Department of Endoscopy, Hiroshima University Hospital, Hiroshima, Japan.
Journal of gastric cancer
|November 6, 2023
概括
牙线剪贴 (DFC) 拉力改善内镜下粘膜剖析 (ESD) 早期胃癌在经验较少的内镜医生. 对于特定的损伤位置和大小,DFC是有益的,减少了手术时间.
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:
- 牙线剪贴 (DFC) 引是一种用于内镜下粘膜剖析 (ESD) 的简单方法.
- 它在经验较少的内镜医生早期胃癌 (EGC) ESD中的实用性需要澄清.
研究的目的:
- 在EGC中确定DFC引辅助ESD的适当指示,用于初学者内镜师.
- 评估DFC对手术时间和切除结果的影响.
主要方法:
- 经验较少的内镜医生对1,014例胃ESD病例进行了回顾性分析 (2015-2020年).
- 没有DFC (n=376) 和使用DFC (n=436) 进行的病例之间的结果比较.
- 分析包括手术时间,块切除,完全切除和不良事件.
主要成果:
- 整体过程时间在各组之间没有显著差异.
- 对于大于20毫米的病变,DFC显著减少了手术时间.
- DFC缩短了较大的曲率 (上部/中部胃) 的病变和较小曲率的较大的病变 (>20毫米) 的手术时间.
结论:
- 在经验较少的内镜医生中,DFC适用于胃ESD,用于较大曲率 (上/中胃) 的病变.
- DFC也适用于胃的较小曲线上的病变>20毫米.
- DFC为特定EGC瘤位置和大小提供更安全,更有效的ESD.
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