早期十二指腺乳头癌的内镜治疗:长期结果
Yingyu Wang1,2, Hayat Khizar1,3, Haibin Zhou1
1Department of Gastroenterology, Hangzhou First People's Hospital, Hangzhou, Zhejiang, China.
Journal of gastroenterology and hepatology
|March 26, 2024
概括
透视乳头切除术 (EP) 是一种安全有效的治疗方法,用于早期的十二指甲乳头乳头癌. 由于这种微创手术后可能出现复发,定期进行内镜检查至关重要.
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:
- 早期的十二指甲状腺 papillary carcinoma 是一个治疗挑战.
- 内镜乳头切除术 (EP) 是一个新兴的微创性选择.
研究的目的:
- 为了评估内镜乳头切除术 (EP) 对早期十二指腺乳头癌的安全性和有效性.
- 评估长期结果,包括复发率和生存率.
主要方法:
- 在2012年6月至2022年9月期间接受EP治疗的48名早期十二指腺乳头癌患者的回顾性分析.
- 评估组织类型,完全切除率,不良事件和复发模式.
主要成果:
- EP在6个月内实现了95.8%的完整移除率,没有残留瘤.
- 早期不良事件发生在16.7% (胰腺炎,出血,胆管炎),晚期事件发生在4.2% (胆管狭窄).
- 复发率为16.7%,中位数无进展生存时间为18.6个月,总生存时间为121.5个月.
结论:
- 透视乳头切除术 (EP) 是早期十二指腺乳头癌的安全有效替代方案.
- 密切的内镜监测和管理是必要的,以应对复发的风险.
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