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对直肠神经内分泌瘤的内镜切除疗法的比较

Meijiao Lu¹, Hongxia Cui², Mingjie Qian¹

¹Department of Gastroenterology, Second Affiliated Hospital of Soochow University, Suzhou, Jiangsu, China.

Minimally invasive therapy & allied technologies : MITAT : official journal of the Society for Minimally Invasive Therapy

|May 3, 2024

概括

剪贴和带辅助内镜粘膜切除 (CS-EMR) 对直肠神经内分泌瘤 (NETs) 比传统的EMR更有效. 与ESD相比,CS-EMR还提供了降低成本和更短的住院时间.

科学领域:

胃肠病学胃肠病学
手术瘤学手术瘤学
内镜手术进行内镜手术

背景情况:

人们越来越多地诊断出直肠神经内分泌瘤 (NETs).
内镜切除是选择直肠NET的主要治疗方法.
对比不同的内镜技术对于优化患者的治疗结果至关重要.

研究的目的:

评估和比较内镜粘膜切除 (EMR),剪贴和诱辅助内镜粘膜切除 (CS-EMR) 和内镜亚粘膜切除 (ESD) 的疗效和安全性.
根据完整切除率,边缘状态,程序时间和成本,确定切除直肠NET的最佳内镜方法.

主要方法:

对47名直肠NET患者进行内镜切除的回顾性分析.
基于临床病理特征,并发症,手术持续时间和住院费用的EMR,CS-EMR和ESD的比较.

主要成果:

与EMR相比,CS-EMR和ESD的完全切除率明显高于EMR.
CS-EMR证明了与ESD相比的切除疗效,但程序时间更短,成本更低.
与ESD相比,CS-EMR导致侧边缘距离较小,垂直边缘没有显著差异.

结论:

对于小直肠网,CS-EMR是一种比EMR更有效和高效的技术.
CS-EMR为ESD提供了有利的替代方案,减少了手术时间,住院和患者费用,同时保持了足够的切除边缘.

关键词:

这是直肠神经内分泌瘤.剪贴和陷辅助的内镜粘膜切除.进行内镜粘膜切除.进行内镜下膜剖析.s1 s1 的意思

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