全身麻醉下内镜黏膜下剥离术的疗效与安全性
Efficacy and safety of endoscopic submucosal dissection under general anesthesia.
作者信息
Yamashita Kanefumi, Shiwaku Hironari, Ohmiya Toshihiro, Shimaoka Hideki, Okada Hiroki, Nakashima Ryo, Beppu Richiko, Kato Daisuke, Sasaki Takamitsu, Hoshino Seiichiro, Nimura Satoshi, Yamaura Ken, Yamashita Yuichi
机构信息
Kanefumi Yamashita, Hironari Shiwaku, Toshihiro Ohmiya, Hideki Shimaoka, Hiroki Okada, Ryo Nakashima, Richiko Beppu, Daisuke Kato, Takamitsu Sasaki, Seiichiro Hoshino, Yuichi Yamashita, Department of Gastroenterological Surgery, Fukuoka University Faculty of Medicine, Fukuoka 814-0180, Japan.
出版信息
World J Gastrointest Endosc. 2016 Jul 10;8(13):466-71. doi: 10.4253/wjge.v8.i13.466.
AIM
To evaluate the efficacy and safety of endoscopic submucosal dissection (ESD) under general anesthesia.
METHODS
From January 2011 to July 2014, 206 consecutive patients had undergone ESD under general anesthesia for neoplasms of the stomach, esophagus, and colorectum were enrolled in this retrospective study. The efficacy and safety of ESD under general anesthesia were assessed.
RESULTS
The en bloc resection rate of esophageal, gastric, and colorectal lesions was 100.0%, 98.3%, and 96.1%, respectively. The complication rate of perforation and bleeding were 0.0% and 0.0% in esophageal ESD, 1.7% and 1.7% in gastric ESD, and 3.9% and 2.0% in colorectal ESD, respectively. No cases of aspiration pneumonia were observed. All complications were managed by conservative treatment, with no surgical intervention required.
CONCLUSION
With the cooperation of an anesthesiologist, ESD under general anesthesia appears to be a useful method, decreasing the risk of complications.
目的
评估全身麻醉下内镜黏膜下剥离术（ESD）的疗效及安全性。
方法
本回顾性研究纳入了2011年1月至2014年7月期间连续206例因胃、食管和结直肠肿瘤接受全身麻醉下ESD的患者。评估全身麻醉下ESD的疗效及安全性。
结果
食管、胃和结直肠病变的整块切除率分别为100.0%、98.3%和96.1%。食管ESD的穿孔和出血并发症发生率分别为0.0%和0.0%，胃ESD分别为1.7%和1.7%，结直肠ESD分别为3.9%和2.0%。未观察到吸入性肺炎病例。所有并发症均通过保守治疗处理，无需手术干预。
结论
在麻醉医生的配合下，全身麻醉下ESD似乎是一种有用的方法，可降低并发症风险。
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