内镜黏膜下剥离术治疗累及回盲瓣和末端回肠的大型侧向扩展肿瘤。
Endoscopic submucosal dissection for large laterally spreading tumors involving the ileocecal valve and terminal ileum.
机构信息
Endoscopy Division, National Cancer Center Hospital, 5-1-1 Tsukiji, Chuo-ku, Tokyo 104-0045, Japan.
出版信息
World J Gastroenterol. 2012 Jan 21;18(3):291-4. doi: 10.3748/wjg.v18.i3.291.
Abstract
Endoscopic submucosal dissection is a challenging technique that enables en-bloc resection for large colorectal tumors, as laterally spreading tumors, particularly difficult, if the ileocecal valve and terminal ileum is involved. Herein, we report on one of 4 cases. The procedures, using a bipolar needle knife (B-Knife) to reduce the perforation risk and carbon dioxide instead of conventional air insufflation for patient comfort, achieved curative resections without any complications.
摘要
内镜黏膜下剥离术是一种具有挑战性的技术，它能够为大肠侧向发育型肿瘤等大型结直肠肿瘤进行整块切除，如果涉及回盲瓣和末端回肠则尤其困难。本文报告了其中的 1 例。该手术采用双极针形切开刀（B-Knife）以降低穿孔风险，并用二氧化碳代替常规的空气注入以提高患者舒适度，在没有任何并发症的情况下实现了治愈性切除。
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