Department of Gastroenterology, Fukuoka University Chikushi Hospital, Fukuoka, Japan.
Dig Endosc. 2012 May;24 Suppl 1:105-9. doi: 10.1111/j.1443-1661.2012.01267.x.
Endoscopic submucosal dissection (ESD) is an outstanding endoscopic technique in which a colonic lesion can be resected en-bloc. However, the procedure requires a high level of skill and the procedure has yet to be standardized. At the present time, colorectal ESD is only permitted in Japanese institutions that have been certified for advanced medical treatments.
We examined 200 cases of colorectal ESD that were performed in our hospital.
Over time, it was found that there was a continuous improvement in the treatment outcomes along with advances in both the procedures and the peripheral equipment utilized.
Current results suggest that the colorectal ESD procedure is relatively stable. To ensure colorectal ESD continues to be safe, indications for its use need to be more fully investigated and medical personnel must be trained to carefully perform the procedure.
内镜黏膜下剥离术（ESD）是一种出色的内镜技术，可整块切除结肠病变。然而，该操作需要较高的技能水平，且该操作尚未标准化。目前，只有经过高级医疗认证的日本医疗机构才被允许进行结直肠 ESD。
我们对我院进行的 200 例结直肠 ESD 进行了检查。
随着时间的推移，我们发现随着手术程序和所使用的外围设备的进步，治疗效果不断提高。
目前的结果表明，结直肠 ESD 手术相对稳定。为确保结直肠 ESD 的安全性，需要更充分地研究其适应证，并对医务人员进行仔细操作的培训。
