卡钳辅助牵引内镜下全厚切除胃底粘膜下肿瘤的效果

IF 1.1 4区 医学 Q3 SURGERY
Jing Xu, Yan Wang
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引用次数: 0

摘要

目的:探讨胃底粘膜下肿瘤(SMTs)的圈套辅助牵引内镜全厚切除术(EFTR)的可行性和有效性。方法收集2018年1月至2023年6月在开封市中心医院内镜中心接受EFTR治疗的胃SMTs患者的临床和病理资料。其中,36例患者接受了卡环辅助牵引EFTR(SAT-EFTR)治疗,46例患者接受了标准EFTR(S-EFTR)治疗。收集并比较两组患者的临床基线数据、手术数据、不良事件和随访结果。结果所有患者都成功完成了 EFTR 技术。男性患者 34 人,女性患者 48 人,平均年龄(56.62±11.31)岁。卡环辅助 EFTR 组的平均手术时间比 S-EFTR 组短(73.39±31.33 分钟对 92.89±37.57 分钟,P = 0.014)。此外,卡环辅助 EFTR 组的切除速度也明显快于 S-EFTR 组(4.04 ± 2.23 对 2.48 ± 0.93 mm2/min,P P > .05)。SAT-EFTR 组有一名患者术后出现延迟性穿孔,经荷包缝合技术缝合。所有患者均顺利出院,随访期间无复发或转移。结论卡环辅助牵引 EFTR 可以缩短手术时间,降低手术难度,提高手术效率。同时,该方法简单易学,更适合初学者,值得临床推广应用。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
The Outcome of Snare-Assisted Traction Endoscopic Full-Thickness Resection for the Gastric Fundus Submucosal Tumors Originating from the Muscularis Propria.

Aim: To explore the feasibility and effectiveness of snare-assisted traction endoscopic full thickness resection (EFTR) on gastric fundus submucosal tumors (SMTs). Methods: The clinical and pathological data of patients with gastric SMTs who underwent EFTR treatment at the Endoscopy Center of Kaifeng Central Hospital from January 2018 to June 2023 were collected. Among them, 36 patients underwent snare-assisted traction EFTR (SAT-EFTR) and 46 patients underwent standard EFTR (S-EFTR). The clinical baseline data, operative data, adverse events, and follow-up results of the two groups were collected and compared. Results: All patients successfully completed EFTR technique. There were 34 male and 48 female patients, with an average age of (56.62 ± 11.31) years. The average operation time was shorter in the snare-assisted EFTR group than the S-EFTR group (73.39 ± 31.33 minutes versus 92.89 ± 37.57 minutes, P = .014). In addition, the resection speed of the snare-assisted EFTR group was also significantly faster than that of the S-EFTR group (4.04 ± 2.23 versus 2.48 ± 0.93 mm2/min, P < .001). There was no statistically significant difference in the age, gender, lesion size, postoperative fasting duration, and postoperative hospitalization stay between the two groups (P > .05). One patient in the SAT-EFTR group developed delayed postoperative perforation which was close with purse‑string suture technique. All patients were discharged successfully, and there was no recurrence or metastasis during the follow-up period. Conclusion: Snare-assisted traction of EFTR could shorten the operation time, reduce the difficulty of the operation, and improve the efficiency of the operation. At the same time, this method is simple and easy to learn, more suitable for beginners, and worthy of clinical promotion and application.

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来源期刊
CiteScore
2.90
自引率
0.00%
发文量
163
审稿时长
3 months
期刊介绍: Journal of Laparoendoscopic & Advanced Surgical Techniques (JLAST) is the leading international peer-reviewed journal for practicing surgeons who want to keep up with the latest thinking and advanced surgical technologies in laparoscopy, endoscopy, NOTES, and robotics. The Journal is ideally suited to surgeons who are early adopters of new technology and techniques. Recognizing that many new technologies and techniques have significant overlap with several surgical specialties, JLAST is the first journal to focus on these topics both in general and pediatric surgery, and includes other surgical subspecialties such as: urology, gynecologic surgery, thoracic surgery, and more.
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