不同的引装置对结直肠内镜下粘膜切割结果的影响
Lucas Cardoso1,2, Naohisa Yoshida3, Reo Kobayashi1
1Department of Molecular Gastroenterology and Hepatology, Graduate School of Medical Science, Kyoto Prefectural University of Medicine, Kyoto, Japan.
Therapeutic advances in gastroenterology
|November 3, 2025
概括
使用SureClip引带 (SCTB) 和SO剪贴 (SO-C) 的内镜下粘膜切割 (ESD) 显示了类似的治疗结果. 然而,SCTB在结直肠ESD手术中,与SO-C相比,显示出明显更快的部署时间.
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
- 手术设备 手术设备
背景情况:
- 内镜下粘膜切割 (ESD) 对于切除大结直肠病变至关重要,但由于组织特征和可操作性而面临挑战.
- 引装置,包括SureClip引带 (SCTB) 和SO剪贴 (SO-C),用于改善结肠中的ESD结果.
- 这项研究调查了SCTB和SO-C在结直肠ESD中的比较疗效.
研究的目的:
- 为了比较SCTB与SO-C在结直肠内镜下粘膜剖析 (ESD) 的治疗效果.
- 评估SCTB和SO-C之间的手术时间,块切除率和外科手术期间穿孔的差异.
- 评估SCTB和SO-C在结直肠ESD期间的部署时间.
主要方法:
- 进行了对982个结直肠ESD手术对20-49毫米大小的病变进行回顾性分析.
- 患者被分为无引力,SCTB和SO-C类别.
- 使用倾向性得分匹配来控制基线差异,然后对ESD结果进行比较分析.
主要成果:
- 在对应后的引 (SCTB + SO-C) 和非引组之间,没有观察到ESD手术时间,块切除率或外科穿孔的显著差异.
- 在SCTB和SO-C组之间的比较显示,在匹配后,手术时间,块切除或穿孔率没有显著差异.
- SCTB的部署时间比SO-C要短得多 (6.3 ± 3.8分钟与9.3 ± 5.9分钟相比,p=0.004).
结论:
- SCTB和SO-C都是对结直肠ESD有效的引装置,产生可比的治疗结果.
- 与SO-C相比,SCTB具有更快的部署时间的优势.
- 这些发现表明,设备选择可能会受到快速部署在结肠直肠ESD的需要的影响.
更多相关视频
15:49Flexible Colonoscopy in Mice to Evaluate the Severity of Colitis and Colorectal Tumors Using a Validated Endoscopic Scoring System
Published on: October 16, 2013
32.5K
07:22Surgical Robot-Assisted Transanal Specimen Extraction Radical Sigmoidectomy Without an Auxiliary Abdominal Incision
Published on: June 13, 2025
633
相关概念视频
01:26Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy
534
Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
534
01:21Inflammatory Bowel Disease V: Surgical Management
433
Surgical interventions for inflammatory bowel disease (IBD), which includes ulcerative colitis and Crohn's disease, are essential in managing symptoms and addressing complications. The selection of surgical procedures is contingent upon the specific conditions and complications that stem from these illnesses.
Here are some common surgical interventions for IBD:
Here are some common surgical interventions for IBD:
433