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对于低直肠癌的跨内镜内切除的临床疗效和病理结果

Zhi-Wen Xu¹, Jing-Tao Zhu¹, Hao-Yu Bai¹

¹Department of Gastrointestinal Oncology Surgery, The First Affiliated Hospital of Xiamen University, School of Medicine, Xiamen University, Xiamen 361000, Fujian Province, China.

World journal of gastrointestinal oncology

|April 5, 2024

概括

过门内镜间切除 (ISR) 是用于下直肠癌的安全有效的手术技术. 这项研究表明,它提供了良好的病理结果,并发症很少,支持其进一步的临床使用.

科学领域:

结肠直肠手术结肠直肠手术
手术瘤学手术瘤学
胃肠内镜检查胃肠内镜检查

背景情况:

过内镜间切除 (ISR) 缺乏广泛的临床数据.
有限的研究阻碍了这种手术方法的采用和发展.

研究的目的:

为了评估透过内镜ISR的临床有效性.
促进跨内镜ISR的临床应用和发展.

主要方法:

45名患有下直肠癌的患者的回顾性病例系列.
所有患者在2018年5月至2023年5月期间接受过门内镜ISR.
术后恢复,并发症和病理样本特征的分析.

主要成果:

在45名患者中没有观察到术后死亡率.
整体早期并发症率为22.22%,其中4.44%的Clavien-Dindo等级≥III事件.
所有标本都有负切除边缘,平均距离边缘为2.30厘米,表明高质量的病理检索.

结论:

透过内镜ISR是一种安全且可行的手术.
该技术提供了清晰的解剖学可视化,并产生了有利的病理结果.
较低的并发症率表明,透过内镜的ISR需要进一步的研究和临床应用.

关键词:

复杂性复杂性复杂性在内镜检查中.脊髓间切除 - - 脊髓间切除.这是直肠癌.跨道跨道跨道

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