Endoscopic full-thickness resection

David Friedel MD , Xiaocen Zhang MD , Rani Modayil MD , Stavros N. Stavropoulos MD
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引用次数: 1

Abstract

Endoscopic full-thickness resection (EFTR) is the cutting edge of therapeutic endoscopy. It is a minimally invasive method designed to remove gastrointestinal subepithelial tumors originating from the muscularis propria. In this review we will focus on pure EFTR, a technique that evolved from endoscopic submucosal dissection and utilizes endoscopic submucosal dissection skills and equipment. Pure EFTR differs from device-assisted or laparoscopy-assisted EFTR. It has fewer limitations in terms of tumor location and size and is a true embodiment of the natural orifice transluminal endoscopic surgery concept. Here we will review the development, applications, equipment, technique, and outcomes of pure EFTR, as well as give a brief overview of the current state of the art featuring both the worldwide literature and data from our large referral center.

内镜全层切除术
内镜全层切除(EFTR)是治疗性内镜的前沿。这是一种微创的方法,旨在去除胃肠道上皮下肿瘤起源于固有肌层。在这篇综述中,我们将重点关注纯EFTR,这是一种从内镜下粘膜剥离发展而来的技术,利用内镜下粘膜剥离技术和设备。单纯EFTR不同于器械辅助或腹腔镜辅助EFTR。它在肿瘤位置和大小方面的限制较少,是自然孔口腔内内镜手术理念的真正体现。在这里,我们将回顾纯EFTR的发展、应用、设备、技术和结果,并简要概述当前的艺术状态,包括世界范围内的文献和我们大型转诊中心的数据。
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来源期刊
Techniques in Gastrointestinal Endoscopy
Techniques in Gastrointestinal Endoscopy GASTROENTEROLOGY & HEPATOLOGY-
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期刊介绍: The purpose of each issue of Techniques in Gastrointestinal Endoscopy is to provide a comprehensive, current overview of a clinical condition or surgical procedure in gastrointestinal endoscopy, combining the effectiveness of an atlas with the timeliness of a journal. Each issue places a vigorous emphasis on diagnosis, rationale for and against a procedure, actual technique, management, and prevention of complications. The journal features abundant illustrations, line drawings and color artwork to guide readers through even the most complicated procedure.
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