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内镜全层切除术治疗源于固有肌层的胃黏膜下肿瘤:69例病例系列

Endoscopic Full-thickness Resection for Gastric Subepithelial Tumors Originating From the Muscularis Propria: A 69-Case Series.

作者信息

Sun Meiling, Song Jitao, Song Xinuan, Liu Bingrong

机构信息

Department of Gastroenterology and Hepatology, The Second Affiliated Hospital of Harbin Medical University, Harbin, People's Republic of China.

出版信息

Surg Laparosc Endosc Percutan Tech. 2018 Feb;28(1):e12-e17. doi: 10.1097/SLE.0000000000000491.

Abstract

OBJECTIVE

This report describes a mini-invasive technique called endoscopic full-thickness resection (EFR) for the treatment of gastric subepithelial tumors (SETs) originating from the muscularis propria (MP).

MATERIALS AND METHODS

We retrospectively analyzed 69 patients with gastric SETs originating from the MP at our hospital between September 2009 and July 2016. The data from each patient were reviewed, including patient information, tumor characteristics, procedure-related data, and recurrence rates.

RESULTS

Successful complete resection by EFR was achieved in 69 cases. The complete resection rate was 100%, and the mean resected tumor size was 2.25±1.40 (range, 0.6 to 6) cm. No residual tumor recurrence was detected during the follow-up period in 57 patients. The other 12 patients were lost to follow-up.

CONCLUSIONS

EFR seems to be a safe and effective technique for the treatment of patients with gastric SETs originating from the MP.

摘要

目的

本报告描述了一种名为内镜全层切除术(EFR)的微创技术,用于治疗起源于固有肌层(MP)的胃黏膜下肿瘤(SETs)。

材料与方法

我们回顾性分析了2009年9月至2016年7月在我院接受治疗的69例起源于MP的胃SETs患者。对每位患者的数据进行了回顾,包括患者信息、肿瘤特征、手术相关数据和复发率。

结果

69例患者均成功通过EFR实现完全切除。完全切除率为100%,平均切除肿瘤大小为2.25±1.40(范围0.6至6)cm。57例患者在随访期间未检测到残留肿瘤复发。另外12例患者失访。

结论

EFR似乎是一种安全有效的技术,可用于治疗起源于MP的胃SETs患者。

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