内镜黏膜下剥离术联合经肛门微创手术治疗既往部分切除术后伴有纤维化的早期直肠癌
Combination of endoscopic submucosal dissection and transanal minimally invasive surgery for the resection of early rectal cancer with fibrosis after prior partial excision.
作者信息
Kim Sung Hoo, Yang Dong Hoon, Lim Seok-Byung
机构信息
Department of Colon and Rectal Surgery, Asan Medical Center, University of Ulsan College of Medicine, Seoul, South Korea.
Department of Gastroenterology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, South Korea.
出版信息
Asian J Endosc Surg. 2019 Apr;12(2):178-180. doi: 10.1111/ases.12601. Epub 2018 May 23.
Endoscopic submucosal dissection is an effective procedure for treating non-invasive colorectal tumors. However, in cases of severe fibrosis, endoscopic submucosal dissection may be technically difficult, leading to incomplete resection. Here, we describe the case of a 74-year-old man who had early rectal cancer along with severe submucosal fibrosis caused by prior local excision. Combination treatment with endoscopic submucosal dissection and transanal minimally invasive surgery successfully enabled complete resection.
内镜下黏膜下剥离术是治疗非侵袭性结直肠肿瘤的有效方法。然而，在严重纤维化的病例中，内镜下黏膜下剥离术在技术上可能具有挑战性，导致切除不完全。在此，我们报告一例74岁男性患者，其患有早期直肠癌并伴有先前局部切除所致的严重黏膜下纤维化。内镜下黏膜下剥离术与经肛门微创手术联合治疗成功实现了完整切除。
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