Division of Thoracic and Foregut Surgery, Department of Cardiothoracic Surgery, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania, USA.
J Surg Oncol. 2013 Mar;107(3):243-9. doi: 10.1002/jso.23126. Epub 2012 Apr 24.
Patient selection for endoscopic resection is based on meticulous endoscopic examination and histological assessment so as to avoid performing this procedure on patients with a high risk of lymph node involvement or metastatic disease. Currently, endoscopic mucosal resection (EMR) is used for tumors <2 cm, and endoscopic submucosal dissection (ESD) should be considered for tumors >2 cm. The advantage of ESD is that it achieves en-bloc resection of larger tumors, potentially reducing the risk of disease recurrence.
患者的内镜切除术选择基于仔细的内镜检查和组织学评估，以避免对淋巴结受累或转移性疾病风险较高的患者进行此操作。目前，内镜黏膜切除术（EMR）用于<2cm 的肿瘤，而内镜黏膜下剥离术（ESD）应考虑用于>2cm 的肿瘤。ESD 的优势在于它可以整块切除较大的肿瘤，从而降低疾病复发的风险。
