增强型内镜与B2-内镜超声波导向肝胃肠切除术的成功率有关
Yoshitaro Yamamoto1, Kazuo Hara1, Nozomi Okuno1
1Department of Gastroenterology Aichi Cancer Center Hospital Nagoya Japan.
DEN open
|January 30, 2026
概括
改进的内镜,包括新的斜视 (OV) 和前视 (FV) 视野,为内镜超声波 (EUS) 引导的肝胃肠切除术 (HGS) 在第2段胆道中提供了安全有效的替代方案,提高了技术成功率.
科学领域:
- 胃肠病学 胃肠病学
- 干预性内镜检查是干预性的内镜检查.
- 胆汁干预 胆汁干预
背景情况:
- 以内镜超声波 (EUS) 为指导的肝胃肠切除术 (HGS) 是一种关键的胆管排水技术.
- 肝内胆道段2 (B2) 的穿孔可能会在常规斜视 (OV) 探测器中具有挑战性,可能导致食道穿孔.
- 新型增强内镜旨在提高B2干预的安全性和有效性.
研究的目的:
- 为了比较B2穿刺的安全性和有效性,使用传统的OV,新型OV和前性 (FV) 范围进行EUS导向的肝胃口术 (HGS).
- 评估强化内镜技术对B2-EUS-HGS技术和临床成功率的影响.
主要方法:
- 一个单一中心的回顾性研究,涉及319名接受B2-EUS-HGS的患者.
- 患者在2017年1月至2024年3月期间接受治疗.
- 传统的OV视野镜和增强型内镜 (新型OV和FV视野镜) 之间的结果比较.
主要成果:
- 增强型内镜 (新型OV和FV) 的技术成功率高达93.6%,临床成功率高达97.1%.
- 与传统内镜组相比,增强内镜组的技术成功率明显高 (p < 0.001).
- 两组之间总体临床成功率 (p = 0.128) 或早期不良事件率 (p = 0.461) 没有发现显著差异.
结论:
- 无论是前性 (FV) 还是新性 (OV) 视野都显示出B2-EUS-HGS的可比安全性和高成功率.
- 使用FV或新型OV范围是执行B2-EUS-HGS的合适策略,提高程序结果.
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