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优化内镜下粘膜解剖:对S-O剪辑对程序结果和损伤特定应用的影响的元分析

Fariha Hasan¹, Aizaz Ali², Umm E Salma Shabbar Banatwala³

¹Department of Internal Medicine, Cooper University Hospital, Camden, NJ, USA.

Digestive diseases and sciences

|July 8, 2025

概括

该S-O剪贴通过减少手术时间和增加块内切除率来改善内镜下层剖析 (ESD). 这种引装置可以提高粘膜下部的可见性,而不会引起不良事件,特别是对于胃和结肠直肠瘤.

科学领域:

胃肠病学胃肠病学
最少侵入性的手术
内镜检查是指内镜检查.

背景情况:

内镜下粘膜切割 (ESD) 是早期胃肠道瘤的关键治疗方法.
在ESD的技术挑战包括有限的粘膜下可见性,长时间的手术时间,以及穿孔和出血的风险.
S-O剪辑旨在改善下膜暴露和程序结果.

研究的目的:

系统地审查和分析SO剪辑对ESD程序的影响.
为了比较ESD结果与没有S-O剪辑.

主要方法:

17项涉及1449名患者的研究的系统综述和元分析.
主要结局:区块切除率,完整切除率,手术时间.
二次结果:剖析速度,不良事件 (穿孔,出血).

主要成果:

使用S-O剪片显著减少了手术时间 (MD: -19.63分钟) 和增加了EN-BLOC切除率 (RR: 1.05).
使用S-O片 (MD: 10.18 mm2/min) 的剖析速度明显更快.
完全切除率和不良事件率 (穿孔,出血) 在各组之间相似.

结论:

S-O剪贴是ESD的有效辅助,提高了效率和块内切除.
它不会增加不良事件的风险.
S-O剪辑显示在胃和结肠直肠ESD手术中具有特别的益处.

关键词:

内镜下粘膜切割进行内镜下粘膜切割.胃肠道的新生病.最少侵入性的外科手术程序.外科手术的剪贴.治疗结果的结果.

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