双操作者薄内镜组合手术用于胃肠表皮瘤的内镜下粘膜剖析:单中心回顾性试点研究
Takuma Okamura1,2, Tomonari Ikeda3, Miruki Yoshino3
1Department of Gastroenterology, Nagasaki Harbor Medical Center, 6-39, Shinchi-Machi, Nagasaki City, Nagasaki, 850-8555, Japan. taku.okamu1002@gmail.com.
Surgical endoscopy
|December 22, 2025
概括
薄内镜组合手术 (TECS) 是一种安全可行的双操作者技术,用于胃肠道瘤切除. 这种方法允许动态的引和任务共享,在固定团队中观察到显著的学习曲线改进.
科学领域:
- 胃肠病学 胃肠病学
- 手术创新 在外科创新.
- 内镜手术 进行内镜手术
背景情况:
- 薄内镜组合手术 (TECS) 是一种新的双操作者技术,使用两个相同的薄治疗内镜.
- 这种方法促进了先进的内镜治疗的动态引和任务共享.
研究的目的:
- 评估TECS在临床实践中的可行性,安全性和程序特性.
- 描述使用TECS的固定操作员助理团队的学习曲线.
主要方法:
- 针对胃肠道上皮质瘤进行TECS的44名患者的回顾性分析.
- 评估技术成功,整体和R0切除率,手术时间,切除速度和不良事件 (AE).
主要成果:
- 在43/44名患者中完成了TECS,技术成功率为97.7%.
- 在所有41个瘤病例中都实现了封锁和R0切除,没有内部或延迟的AE.
- 对于一个固定的团队,治疗时间的中位数随着经验的增加而减少 (59到27分钟),切除速度增加 (20.9到48.4毫米2/分钟).
结论:
- TECS是一种可行的和安全的内镜技术,提供可调,双向的引和任务共享.
- 建议进行进一步的多中心研究,以确认适用情况,安全性,可重复性和成本效益.
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