先进内镜在尾息肉管理和结果中的作用
Carla F Justiniano1, Ilker Ozgur1, David Liska1
1Department of Colorectal Surgery, Digestive Disease and Surgery Institute, Cleveland Clinic, 9500 Euclid Avenue, Cleveland, OH, 44195, USA.
Surgical endoscopy
|March 4, 2024
概括
先进的内镜技术为管理尾孔粘膜瘤提供了一个安全的替代方案,显示出低的并发症和复发率. 这些方法保留了盲,与传统的手术切除不同.
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
- 在瘤学瘤学.
背景情况:
- 尾孔病变通常通过手术进行治疗.
- 限定的或瘤切除是常见的治疗方式.
研究的目的:
- 评估用于尾孔粘膜瘤的先进内镜干预措施的疗效.
- 报告内镜管理结果作为手术的替代方案.
主要方法:
- 对前性收集数据集 (2011-2021) 的回顾性分析.
- 包括接受内镜粘膜切除 (EMR),内镜粘膜解剖 (ESD),混合ESD或联合内镜腹腔镜手术 (CELS) 的患者.
- 报告患者的人口统计,病变特征和程序结果.
主要成果:
- 41名患有尾孔粘膜瘤的患者进行了先进的内镜切除.
- 混合ESD (39%) 和ESD (34%) 是最常见的技术.
- 低并发症率 (1/41) 和EMR后的一次复发,成功重新切除.
结论:
- 对于尾孔粘膜瘤,先进的内镜干预是可行的和安全的.
- 这些技术为手术提供了一种可行的替代方案,可以保存盲孔.
- 具有较低并发症和复发率的有希望的结果支持它们的使用.
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