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用带和片进行内镜下粘膜剖析与传统内镜下粘膜剖析相比:系统性审查和元分析

Abdelaziz A Awad¹, Hazem Abosheaishaa^2,3, Malak A Hassan⁴

¹Faculty of Medicine, Al-Azhar University, Cairo, Egypt.

Digestive diseases and sciences

|May 3, 2025

概括

与常规ESD相比,使用带和剪贴 (ESD-RBC) 进行内镜下粘膜剖析为胃肠道瘤提供了优异的块状和R0切除. 这种有效的方法还可以提高切除速度,缩短手术时间,而不会增加出血风险.

科学领域:

胃肠病学和内镜检查
手术瘤学手术瘤学
最少侵入性的手术

背景情况:

胃肠道瘤正在增加,需要先进的治疗选择.
内镜下粘膜切割 (ESD) 是完全切除瘤和预防复发的关键干预措施.
评估新的ESD技术对于改善患者的治疗结果至关重要.

研究的目的:

评估使用带和片 (ESD-RBC) 进行内镜下膜剖析对胃肠道瘤的安全性和有效性.
在切除质量,速度和并发症方面,将ESD-RBC与传统ESD (C-ESD) 进行比较.
确定ESD-RBC在实现完整瘤切除方面的总体成功率.

主要方法:

在Embase,Scopus,Web of Science,Medline/PubMed和Cochrane数据库中进行系统的文献搜索,直到2024年4月20日.
包括临床试验和观察性研究,比较ESD-RBC与C-ESD用于胃肠道瘤.
使用纽卡斯尔-太华尺度 (NOS) 和使用RevMan和R软件进行统计分析进行偏差风险评估.

主要成果:

与C-ESD.相比,ESD-RBC表现出较高的R0切除 (90%) 和块切除 (96%) 率.
ESD-RBC显著提高了切除速度 (8.48 mm2/min更快) 和缩短了手术时间 (11.94 分钟更短).
在ESD-RBC和C-ESD之间没有观察到出血或延迟出血率的显著差异.

结论:

ESD-RBC是一种安全有效的治疗胃肠道瘤的技术,可改善切除质量.
该方法在切除速度和程序效率方面提供了显著的优势.
在内镜瘤切除中,ESD-RBC代表了一项宝贵的进步,其安全性与传统的ESD相提并论.

关键词:

剪辑片段剪辑片段在ESD中,你会看到ESD.整体切除在整体切除中.R0 切除的切除方法一个带的带.系统性审查系统性审查

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