相关实验视频

Updated: Jan 11, 2026

Endoscopic Endonasal Trans-sphenoidal Approach: Minimally Invasive Surgery for Pituitary Adenomas

Endoscopic Endonasal Trans-sphenoidal Approach: Minimally Invasive Surgery for Pituitary Adenomas

Published on: January 17, 2018

对于AMPULLAR神经内分泌瘤的内皮切除术后的长期结果

Yoonchan Lee¹, Dongwook Oh¹, Seung-Mo Hong²

¹Department of Gastroenterology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, South Korea.

Digestive endoscopy : official journal of the Japan Gastroenterological Endoscopy Society

|November 18, 2025

概括

透视乳头切除术 (EP) 对没有淋巴结转移的囊性神经内分泌瘤 (Amp-NETs) 是安全的. 没有在消极切除边缘的患者中出现复发,支持EP在选定的情况下.

科学领域:

胃肠病学胃肠病学
手术瘤学手术瘤学
内镜检查是指内镜检查.

背景情况:

由于对淋巴结 (LN) 转移和瘤复发的担忧,对于囊性神经内分泌瘤 (Amp-NETs) 的内镜乳头切除术 (EP) 的疗效仍在争论中.
这项研究旨在评估Amp-NET患者的长期EP安全性和复发率.

研究的目的:

为了评估长期的结果,包括复发和安全性,内皮切除术 (EP) 对于囊神经内分泌瘤 (Amp-NETs).
确定无复发生存率 (RFS) 并确定与Amp-NETs EP后复发相关的因素.

主要方法:

在2004年至2018年期间接受EP的组织学确认的Amp-NET患者的回顾性审查.
包括标准包括瘤大小<3厘米,在成像上没有LN或远程转移的证据.
评估的结果是复发,不良事件和无复发生存期 (RFS).

主要成果:

包括34名患者,在55.9%的患者中实现了完全切除.
在平均68.5个月的随访期间,复发发生在9.1%的患者中,仅在那些有积极切除边际 (20%) 的患者中.
在边际阴性患者 (0%) 中没有观察到复发. 早期不良事件 (出血,胰腺炎) 发生在38.2%的患者中,晚期不良事件 (乳头狭窄) 发生在11.8%的患者中,所有这些都通过内镜进行管理.

结论:

内镜乳头切除术 (EP) 是一种安全有效的治疗方法,用于小型,差异化良好的没有淋巴结转移的Amp-NET.
在边缘阴性患者中没有复发,支持 EP 在精心挑选的病例中.
阳性边缘的患者需要密切监测和潜在的进一步手术干预.

关键词:

一个阿波尔的阿波尔.通过内镜检查 (endoscopy) 进行内镜检查神经内分泌瘤的神经内分泌瘤

更多相关视频

Modified Single-Loop Reconstruction for Pancreaticoduodenectomy

Modified Single-Loop Reconstruction for Pancreaticoduodenectomy

Published on: September 28, 2019

Application of Robot-assisted Pancreaticobiliary Junction Resection in Benign Duodenal Tumors

Application of Robot-assisted Pancreaticobiliary Junction Resection in Benign Duodenal Tumors

Published on: December 20, 2024

相关概念视频

Endoscopic Procedures V: ERCP

Endoscopic Procedures V: ERCP

Endoscopic Retrograde Cholangiopancreatography (ERCP) is a diagnostic procedure that combines endoscopy and fluoroscopy to diagnose and treat conditions related to the bile ducts, pancreatic ducts, and gallbladder. This procedure is beneficial for identifying and addressing blockages, gallstones, strictures, and tumors within the biliary or pancreatic systems. ERCP is both diagnostic and therapeutic, offering the ability to visualize and treat identified problems in one session.
Patient...

Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy

Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy

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...