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对内镜下膜剖析进行的回顾性研究,用于治疗大脑膜病变

Li Wang¹, Shao-Bin Luo², Zu-Qiang Liu²

¹Endoscopy Center, Shanghai Geriatric Medical Center, Shanghai, China; Endoscopy Center and Endoscopy Research Institute, Zhongshan Hospital, Fudan University, Shanghai, China; Shanghai Collaborative Innovation Center of Endoscopy, Shanghai, China.

Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract

|March 20, 2025

概括

对于膜 (ICV) 病变,内镜下粘膜剖析 (ESD) 是安全有效的,尽管它比膜病变更长时间. 更大的样本大小和更广泛的瘤扩散增加了ICV ESD的手术时间.

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:

内镜下粘膜解剖 (ESD) 对于因复杂解剖学而导致的膜病变 (ICV) 提出了独特的挑战.
评估ESD对ICV病变的疗效和安全性对于治疗进步至关重要.

研究的目的:

评估内镜下粘膜解剖 (ESD) 对于大脑膜 (ICV) 病变的有效性和安全性.
为了比较ICV病变的ESD结局与部病变的ESD结局.
确定影响ICV病变ESD过程时间的因素.

主要方法:

在2016年12月至2023年6月期间,对51个ICV病变和84个骨病变进行ESD治疗的回顾性审查.
对临床特征,程序结果和后续数据的分析.
统计分析用于比较群体并确定与程序持续时间相关的因素.

主要成果:

对于ICV病变的ESD,与头骨病变 (24分钟;P=.04) 相比,手术的中位时间 (35分钟) 显著更长.
整体切除率高且在各组之间相似 (92.2%的ICV与97.6%的Cecal;P=.14).
在ICV组中,在32个月的中位随访期间没有观察到复发. 样本直径≥25mm和周长分布≥1/2与更长的手术时间有关.

结论:

尽管需要更长的程序时间,但ESD是ICV病变的安全有效治疗方法.
对于ICV病变来说,ESD是一个具有挑战性但又有前途的治疗选择.
样本大小和瘤扩散等因素会影响ICV病变的ESD程序持续时间.

关键词:

骨病变是指骨的损伤内镜下粘膜切割进行内镜下粘膜切割.眼膜门的门是什么?

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