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内镜全层切除术、适应证、方法及展望。

Endoscopic full-thickness resection, indication, methods and perspectives.

作者信息

Wang Kehao, Gao Pingting, Cai Mingyan, Song Baohui, Zhou Pinghong

机构信息

Endoscopy Center and Endoscopy Research Institute, Zhongshan Hospital, Fudan University, Shanghai, China.

Shanghai Collaborative Innovation Center of Endoscopy, Shanghai, China.

出版信息

Dig Endosc. 2023 Jan;35(2):195-205. doi: 10.1111/den.14474. Epub 2022 Dec 13.

Abstract

Minimally invasive surgery has emerged as the dominant theme of modern surgery, in which endoscopic surgery plays a key role. The technique of endoscopic surgery has evolved continuously with extensive research, improving the treatment modalities as well as expanding the indications for its use. As an active perforation endoscopic technique, endoscopic full-thickness resection (EFTR) is mainly used in the treatment of submucosal tumors (SMTs) of the gastrointestinal tract. With decades of evolution, EFTR has gradually developed into a mature endoscopic operation. Based on clinical experience and current research, indications, techniques, clinical outcomes and future perspectives for EFTR are discussed in this paper. We performed a bibliometric study on EFTR literature and showed robust data through a brief meta-analysis on the topic.

摘要

微创手术已成为现代外科的主导主题,其中内镜手术发挥着关键作用。随着广泛的研究,内镜手术技术不断发展,改善了治疗方式并扩大了其应用适应症。作为一种主动穿孔内镜技术,内镜全层切除术(EFTR)主要用于治疗胃肠道黏膜下肿瘤(SMTs)。经过数十年的发展,EFTR已逐渐发展成为一种成熟的内镜手术。基于临床经验和当前研究,本文讨论了EFTR的适应症、技术、临床结果和未来展望。我们对EFTR文献进行了文献计量学研究,并通过对该主题的简要荟萃分析展示了有力的数据。

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