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提高ESD的效率:对ERBE VIO3和300d电术单元进行比较分析

Nabeel Ahmed¹, Mandip Rai², Robert Bechara²

¹Faculty of Medicine and Health Sciences, McGill University, Montreal, Canada.

Journal of the Canadian Association of Gastroenterology

|October 27, 2025

概括

在ERBE VIO 3电外科装置 (ESU) 显著减少了在内镜下粘膜解剖 (ESD) 期间需要凝血抓手的需求. 这表明结直肠病变去除的效率和成本效益有所提高.

科学领域:

胃肠病学胃肠病学
手术技术手术技术
医疗器械医疗器械

背景情况:

电外科单位 (ESU) 在内镜下粘膜剖析 (ESD) 中对组织剖析和血液静止至关重要.
ERBE VIO 3提供了高级功能,如快速设置变化和PreciseSect模式,用于增强下切割和血管管理.

研究的目的:

将ERBE VIO 3与ERBE VIO 300d进行比较,以评估其功能是否可以改善ESD体验.
评估ERBE VIO 3对结直肠ESD过程中的程序效率和资源利用的影响.

主要方法:

对88名在2021年至2024年期间接受结直肠ESD的患者进行了回顾性分析.
程序根据使用的ESU进行分类:ERBE VIO 3 (n=44) 或ERBE VIO 300d (n=44).
结果包括病变特征,块切除率和凝血抓手的使用.

主要成果:

使用VIO 3的程序显示,与VIO 300d (P < 0.001) 相比,总体上,对于动脉出血,每平方厘米和每分钟使用凝血抓手的数量显著减少 (P < 0.001).
用VIO 3治疗的病变显著更大 (P = 0.027).
所有的ESD都完成了整体,与VIO 3 (4.6相比5.1分钟/厘米2) 的提高效率趋势.

结论:

ERBE VIO 3 显著减少了对凝血捕捉器的依赖,特别是在结肠直肠ESD期间的动脉出血.
这种减少抓器的使用有潜力提高程序效率,尽量减少出血,并降低相关成本.

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