使用圈套切割器进行胃腺瘤的内镜黏膜下剥离术。
Endoscopic submucosal dissection of gastric adenomas using the clutch cutter.
作者信息
Akahoshi Kazuya, Kubokawa Masaru, Gibo Junya, Osada Shigeki, Tokumaru Kayo, Yamaguchi Eriko, Ikeda Hiroko, Sato Takao, Miyamoto Kazuaki, Kimura Yusuke, Shiratsuchi Yuki, Akahoshi Kazuaki, Oya Masafumi, Koga Hidenobu, Ihara Eikichi, Nakamura Kazuhiko
机构信息
Kazuya Akahoshi, Masaru Kubokawa, Junya Gibo, Shigeki Osada, Kayo Tokumaru, Eriko Yamaguchi, Hiroko Ikeda, Takao Sato, Kazuaki Miyamoto, Yusuke Kimura, Yuki Shiratsuchi, Kazuaki Akahoshi, Department of Gastroenterology, Aso Iizuka Hospital, Iizuka 820-8505, Japan.
出版信息
World J Gastrointest Endosc. 2017 Jul 16;9(7):334-340. doi: 10.4253/wjge.v9.i7.334.
AIM
To evaluate the efficacy and safety of endoscopic submucosal dissection (ESD) using the clutch cutter (CC) (ESD-CC) for gastric adenoma (GA).
METHODS
From June 2007 to August 2015, 122 consecutive patients with histological diagnoses of GA from specimens resected by ESD-CC were enrolled in this prospective study. The CC was used for all ESD steps (marking, mucosal incision, submucosal dissection, and hemostatic treatment), and its therapeutic efficacy and safety were assessed.
RESULTS
Both the resection rate and the R0 resection rate were 100% (122/122). The mean surgical time was 77.4 min, but the time varied significantly according to tumor size and location. No patients suffered perforation. Post-ESD-CC bleeding occurred in six cases (4.9%) that were successfully resolved by endoscopic hemostatic treatment.
CONCLUSION
ESD-CC is a technically efficient, safe, and easy method for resecting GA.
目的
评估使用离合切割器（CC）进行内镜黏膜下剥离术（ESD-CC）治疗胃腺瘤（GA）的疗效和安全性。
方法
2007年6月至2015年8月，122例经ESD-CC切除标本组织学诊断为GA的连续患者纳入本前瞻性研究。CC用于所有ESD步骤（标记、黏膜切开、黏膜下剥离和止血治疗），并评估其治疗效果和安全性。
结果
切除率和R0切除率均为100%（122/122）。平均手术时间为77.4分钟，但根据肿瘤大小和位置时间差异显著。无患者发生穿孔。ESD-CC术后出血6例（4.9%），经内镜止血治疗成功解决。
结论
ESD-CC是一种技术上有效、安全且简便的GA切除方法。
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