胃黏膜下（上皮下）肿瘤的微创手术
Minimally invasive surgery for submucosal (subepithelial) tumors of the stomach.
作者信息
Lee Chang Min, Kim Hyung-Ho
机构信息
Chang Min Lee, Hyung-Ho Kim, Department of Surgery, Seoul National University Bundang Hospital, Seongnam 463-707, South Korea.
出版信息
World J Gastroenterol. 2014 Sep 28;20(36):13035-43. doi: 10.3748/wjg.v20.i36.13035.
Abstract
Minimally invasive surgery has become common in the surgical resection of gastrointestinal submucosal tumors (SMTs). The purpose of this article is to review recent trends in minimally invasive surgery for gastric SMTs. Although laparoscopic resection has been main stream of minimally invasive surgery for gastrointestinal SMTs, recent advances in endoscopic procedures now provide various treatment modalities for gastric SMTs. Moreover, investigators have developed several hybrid techniques that include the advantages of both laparoscopic and endoscopic procedure. In addition, several types of reduced port surgeries, modification of conventional laparoscopic procedures, have been recently applied to the surgical resection of SMTs. Meanwhile, robotic surgery for SMTs requires further evidence and improvement.
摘要
微创手术已在胃肠道黏膜下肿瘤（SMT）的手术切除中变得普遍。本文旨在综述胃SMT微创手术的近期趋势。尽管腹腔镜切除术一直是胃肠道SMT微创手术的主流，但内镜手术的最新进展现在为胃SMT提供了多种治疗方式。此外，研究人员已经开发出几种混合技术，兼具腹腔镜和内镜手术的优点。另外，几种类型的减孔手术，即对传统腹腔镜手术的改良，最近已应用于SMT的手术切除。与此同时，SMT的机器人手术需要更多证据并进一步改进。
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