Park D J, Lee H-J, Kim S G, Jung H C, Song I S, Lee K U, Choe K J, Yang H-K
Department of Surgery, Seoul National University College of Medicine, Seoul, Korea.
Surg Endosc. 2005 Oct;19(10):1358-61. doi: 10.1007/s00464-004-2217-0.
Few reports are available on the use of intraoperative gastroscopy for gastric surgery.
The details of 33 patients (25 early gastric cancers and eight gastric submucosal tumors) who underwent intraoperative gastroscopy from June 2003 to June 2004 were analyzed. The type of operation or resection margin was determined by evaluating both sides of the stomach simultaneously by combined operative and gastroscopic methods.
Preoperative endoscopic clipping was done preferentially for early gastric cancer. However, when precise localization was needed, intraoperative gastroscopy was used. Curative gastric resection was possible in 25 early gastric cancer patients after accurate lesion localization. Laparoscopic wedge resections of submucosal tumors were performed in seven patients without stenosis by combined laparoscopic and gastroscopic methods.
Intraoperative gastroscopy can be used effectively during gastric surgery for early gastric cancer or submucosal tumors and can be regarded as a modern stethoscope to gastric surgeons.
关于术中胃镜在胃部手术中的应用报道较少。
分析了2003年6月至2004年6月期间接受术中胃镜检查的33例患者（25例早期胃癌和8例胃黏膜下肿瘤）的详细情况。通过手术和胃镜联合方法同时评估胃的两侧来确定手术类型或切除边缘。
早期胃癌优先进行术前内镜下夹闭。然而，当需要精确定位时，则使用术中胃镜。25例早期胃癌患者在准确病变定位后可行根治性胃切除术。7例患者通过腹腔镜和胃镜联合方法进行了腹腔镜下黏膜下肿瘤楔形切除术，无狭窄发生。
术中胃镜可有效地用于早期胃癌或黏膜下肿瘤的胃部手术，可被视为胃外科医生的现代听诊器。
