Korenaga D, Watanabe A, Saito A, Baba H, Kakeji Y, Maehara Y, Sugimachi K
Department of Surgery II, Faculty of Medicine, Kyushi University, Fukuoka, Japan.
Eur J Surg Oncol. 1991 Jun;17(3):316-8.
Two patients with early gastric carcinoma and who were poor surgical risks underwent gastrectomy following repeated laser endoscopy. Pathological findings of the resected stomach were reviewed. Lesions in both patients were ulcerative, with evidence of destruction of the muscularis mucosae caused by laser irradiation. Complete coagulation did not occur in the case of infiltrative-type involvement of the submucosal layer. Gastrectomy was carried out when the clinical status improved and both patients are now cancer-free. We propose that laser treatment for early gastric cancer should be considered for poor-risk patients.
两名早期胃癌患者手术风险较高，在多次激光内镜检查后接受了胃切除术。对切除胃的病理结果进行了复查。两名患者的病变均为溃疡性，有激光照射导致黏膜肌层破坏的证据。对于黏膜下层浸润型受累病例，未发生完全凝固。当临床状况改善后进行了胃切除术，两名患者目前均无癌。我们建议，对于手术风险高的患者应考虑对早期胃癌进行激光治疗。
