用超视镜剪辑进行内镜粘膜切除,用于结直肠瘤 (附视频)
Takahiro Muramatsu1,2, Tomoaki Tashima1, Tomonori Kawasaki3
1Department of Gastroenterology Saitama Medical University International Medical Center Saitama Japan.
DEN open
|March 19, 2025
概括
用超视野剪贴 (EMR-O) 进行内镜粘膜切除,为困难的结直肠病变提供安全有效的最小侵入性选择. 这种技术取得了很高的成功率,并避免了在具有挑战性的情况下进行手术.
科学领域:
- 胃肠病学 胃肠病学
- 内镜检查是指内镜检查.
- 手术瘤学手术瘤学
背景情况:
- 传统的内镜粘膜切除 (EMR) 和内镜亚粘膜切除可能导致并发症或不适合复杂的病变.
- 难以治疗的结直肠病变对标准的内镜切除技术构成了挑战.
研究的目的:
- 为了评估一种新的内镜切除技术的临床有用性:使用超范围剪贴 (EMR-O) 的EMR.
- 评估EMR-O在治疗困难结直肠病变方面的疗效和安全性.
主要方法:
- 这是一项对18名患者的回顾性研究,这些患者在2017年9月至2024年1月期间接受了结直肠瘤的EMR-O.
- 评估患者和病变特征,技术成功,整体切除和R0切除率,手术时间,组织病理学和临床结果.
主要成果:
- EMR-O用于各种指示,包括残留/复发性病变,分管,尾孔病变,T1癌症和亚皮质瘤.
- 技术成功率,块切除率和R0切除率分别为100%,86.7%和86.7%,中位时间为10分钟.
- 唯一的不良事件是一名患者 (5.5%) 的膜炎;没有发生穿孔或显著出血.
结论:
- EMR-O是一种可行的最小侵入性治疗,用于选择难以通过内镜进行管理的小结直肠病变.
- 该技术显示了缩短手术时间,防止穿孔和避免手术的潜力.
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