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laparoscopic切除和内镜下粘膜切割用于治疗胃外宫胰腺

Hui-Da Zheng¹, Qiao-Yi Huang², Yun-Huang Hu¹

¹Department of Gastrointestinal Surgery, The Second Affiliated Hospital of Fujian Medical University, Quanzhou 362000, Fujian Province, China.

World journal of gastrointestinal surgery

|January 15, 2024

概括

胃外性胰腺 (GEP) 是一种罕见的疾病,使用内镜超声波 (EUS) 诊断. 腹腔镜切除 (LR) 和内镜粘膜下切割 (ESD) 都是有效的治疗方法,LR适用于更大,更深的病变.

科学领域:

胃肠病学胃肠病学
手术瘤学手术瘤学
医学诊断医学诊断医学诊断

背景情况:

胃外胰腺 (GEP) 是一种罕见的先天性异常,胰腺组织在胃中被发现.
准确的诊断和适当的治疗选择对于管理GEP至关重要.
GEP经常带来诊断挑战,特别是在标准组织学检查中.

研究的目的:

为了描述GEP的内镜超声波 (EUS) 特性.
评估腹腔镜切除 (LR) 与内镜下粘膜剖析 (ESD) 对于GEP治疗的有效性和适用性.

主要方法:

在2018年5月至2023年7月期间接受ESD或LR治疗的49名GEP患者的回顾性分析.
收集和分析关于临床特征,EUS发现和治疗结果的数据.
在LR和ESD组之间比较EUS特征和治疗疗效.

主要成果:

GEP病变通常起源于粘膜下部 (85.71%),直径平均为1.55厘米.
腹痛是最常见的症状 (40.82%);瘤标志物通常是正常的.
无论是LR还是ESD都表现出高的完全切除率,没有复发,尽管LR涉及到更大的血液损失.

结论:

GEP表现出独特的EUS特征.
LR和ESD是GEP的可行的治疗选择.
对于具有更深层次的起源的大型GEP来说,LR是可取的,但需要进一步的多中心研究来确认安全性和有效性.

关键词:

宫外胰腺宫外胰腺内镜下粘膜切割进行内镜下粘膜切割.内镜超声波检查 (Endoscopic ultrasonography) 是一种内镜超声波检查,用于检查内镜超声波.腹腔镜切除术是指切除腹腔镜的切除术.

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