在食道和心脏巨型瘤内镜切除后,预测教科书的结果
Wei Su1,2, Yun Wang1,2, Haihan Xu3
1Zhongshan Hospital, Endoscopy Center and Endoscopy Research Institute, Fudan University, Shanghai, China.
Digestive diseases and sciences
|September 5, 2025
概括
巨大的食道下粘膜瘤 (SMTs) 的内切除是可行的. 瘤大小,特别是横径<4. 5厘米和规律形状,预测成功的教科书结果 (TO).
科学领域:
- 胃肠病学
- 内镜手术
- 癌症学
背景情况:
- 消化管下巨型瘤的内切除具有重大挑战和不良事件的风险.
- 这些程序的教科书成果 (TO) 仍然在很大程度上未被探索.
研究的目的:
- 在巨型SMT (长直径≥7厘米或横直径≥3.5厘米) 的内切除中确定教科书结果 (TO) 的预测因素.
- 对这些具有挑战性的病变进行内镜切除的安全性和有效性进行评估.
主要方法:
- 在食道和心脏中进行内切除的109名患者的回顾性分析 (2017年7月 - 2022年2月).
- 通过没有重大不良事件,断片切除和长时间住院来定义TO.
- 临床病理和程序特征,不良事件和后续结果的分析.
主要成果:
- 整体切除率为78.9%.
- 横横的瘤直径<4. 5厘米和正常的瘤形状是TO的独立预测因素.
- 主要不良事件 (12. 8%) 与长直径≥9厘米和零碎切除有关.
结论:
- 长直径小于9厘米和横直径小于4. 5厘米的巨型SMT与内切除后的安全和可靠结果有关.
- 这些发现有助于确定患者选择和程序规划,以改善管理大食道和心脏SMT的结果.
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