[两个关闭LECS早期胃癌的病例]
Megumi Watanabe1, Kengo Mouri, Susumu Doita
1Dept. of Surgery, National Hospital Organization Iwakuni Clinical Center.
Gan to kagaku ryoho. Cancer & chemotherapy
|February 2, 2024
概括
封闭式腹腔镜和内镜合作手术 (LECS) 为早期胃癌提供了一个不那么侵入性的治疗选择,特别是在老年患者或患有并发症的患者中. 这种方法在两个不同的案例中被证明是有效的,在复杂的场景中证明了其潜在的实用性.
科学领域:
- 胃肠病学 胃肠病学
- 手术瘤学手术瘤学
- 最少侵入性的手术
背景情况:
- 腹腔镜和内镜合作手术 (LECS) 是一种新兴的胃癌治疗方法.
- 内镜下粘膜解剖 (ESD) 对某些瘤大小和深度有局限性.
- 老年患者或患有并发症的患者的胃癌治疗需要更少的侵入性选择.
研究的目的:
- 在两个早期胃癌的不同病例中报告封闭式腹腔镜和内镜合作手术 (LECS) 的结果.
- 在具有挑战性的患者群体中评估封闭LECS的可行性和有效性.
主要方法:
- 封闭式腹腔镜和内镜合作手术 (LECS) 针对早期胃癌进行.
- 案例1:85岁的男性患有远端胃切除术后残留的胃癌,不适合ESD.
- 案例2:56岁的男性患有早期胃癌,正在为肺癌进行化疗,肺部扩散,不适合ESD.
主要成果:
- 案例1:手术后的诊断是pT1a(M),pPM0,pDM0,Ly0,v0.
- 案例2:手术后的诊断是pT1b2(SM2),pPM0,pDM0,Ly1c,v1a.
- 这两种情况都证明了封闭的LECS的成功应用,具有有利的病理结果.
结论:
- 封闭的LECS是早期胃癌的潜在有价值的治疗选择.
- 这种微创手术适用于老年患者和患有重大并发症或同时患有严重疾病的患者.
- 当像ESD这样的标准治疗方法不适合或过于侵入性时,LECS提供了一个替代方案.
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