Saito Yutaka, Matsuda Takahisa, Fujii Takahiro
Endoscopy Division, National Cancer Center Hospital, 5-1-1 Tsukiji, Chuo-ku, Tokyo 104-0045, Japan.
Gastrointest Endosc Clin N Am. 2010 Jul;20(3):515-24. doi: 10.1016/j.giec.2010.03.010.
Traditionally, endoscopic mucosal resection and surgery were the only available treatments for large colorectal tumors, even for those detected at an early stage. The endoscopic submucosal dissection (ESD) technique, which enables en-bloc resection of large tumors, is accepted as a standard minimally invasive treatment for early gastric cancer in Japan. This article explains in detail how ESD is performed and compares it with endoscopic mucosal resection.
传统上，内镜黏膜切除术和手术是大型结直肠肿瘤仅有的可用治疗方法，即使是那些早期发现的肿瘤。内镜下黏膜剥离术（ESD）技术能够完整切除大型肿瘤，在日本被公认为早期胃癌的标准微创治疗方法。本文详细解释了ESD的操作过程，并将其与内镜黏膜切除术进行了比较。
