Yangyang Zhou, Shimeng Zheng, Jinghao Li, Deliang Li, Yuhu Song
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After PSM, 34 patients were enrolled in the snare traction-assisted endoscopic resection group (STAER) and 102 patients were enrolled in the conventional endoscopic resection group (CER). STAER group had a higher dissection speed (6.60 vs. 5.20 mm<sup>2</sup>/min; <i>P</i> = .030) and shorter dissection time (76.00 vs. 76.50 minutes, <i>P</i> = .003). There were no significant differences in technique success rate, en bloc resection rate, and perioperative complications between the two groups. In subgroup analysis, the dissection speed of STAER was significantly higher than that of CER when the lesion length was 2-5 cm, underwent endoscopic full-thickness resection, and was located in the gastric antrum. <b><i>Conclusions:</i></b> STAER demonstrated a higher efficiency for gastric SMTs ≥ 2 cm, without increasing the perioperative complications. Further prospective studies are needed to assess the efficiency and safety of the STAER method.</p>","PeriodicalId":50166,"journal":{"name":"Journal of Laparoendoscopic & Advanced Surgical Techniques","volume":"35 5","pages":"406-411"},"PeriodicalIF":1.1000,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Effectiveness of Snare Traction-Facilitated Endoscopic Resection for Gastric Submucosal Tumors ≥ 2 cm: A Propensity Score-Matched Study.\",\"authors\":\"Yangyang Zhou, Shimeng Zheng, Jinghao Li, Deliang Li, Yuhu Song\",\"doi\":\"10.1089/lap.2025.0015\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><p><b><i>Aim:</i></b> The aim of this study was to assess the efficacy of the snare traction technique in assisting the endoscopic resection (ER) procedure in gastric submucosal tumors (SMTs) ≥ 2 cm. <b><i>Methods:</i></b> Between January 2015 and December 2022, we retrospectively reviewed data from patients with gastric SMTs ≥ 2 cm who were treated by ER at the first affiliated hospital of Zhengzhou University. 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引用次数: 0
摘要
目的:本研究的目的是评估圈套牵引技术在帮助胃粘膜下肿瘤(SMTs)≥2 cm的内镜切除(ER)手术中的疗效。方法:2015年1月至2022年12月,回顾性分析郑州大学第一附属医院急诊科收治的胃smt≥2 cm患者的资料。然后,使用倾向得分匹配(PSM)(1:3)在圈套牵引辅助和常规内窥镜手术之间克服选择偏差。比较手术成功率、整体切除率、清扫时间、清扫速度及围手术期并发症。结果:本研究共纳入314例患者。经PSM后,34例患者入入圈套牵引辅助内镜切除组(STAER), 102例患者入入常规内镜切除组(CER)。STAER组解剖速度更快(6.60 vs. 5.20 mm2/min);P = 0.030)和较短的解剖时间(76.00 vs. 76.50 min, P = 0.003)。两组手术成功率、整体切除率及围手术期并发症无显著差异。在亚组分析中,当病变长度为2-5 cm、经内镜全层切除且位于胃窦时,STAER的剥离速度明显高于CER。结论:STAER对≥2 cm的胃smt有较高的疗效,且未增加围手术期并发症。需要进一步的前瞻性研究来评估STAER方法的有效性和安全性。
Effectiveness of Snare Traction-Facilitated Endoscopic Resection for Gastric Submucosal Tumors ≥ 2 cm: A Propensity Score-Matched Study.
Aim: The aim of this study was to assess the efficacy of the snare traction technique in assisting the endoscopic resection (ER) procedure in gastric submucosal tumors (SMTs) ≥ 2 cm. Methods: Between January 2015 and December 2022, we retrospectively reviewed data from patients with gastric SMTs ≥ 2 cm who were treated by ER at the first affiliated hospital of Zhengzhou University. Then, propensity score matching (PSM) (1:3) between snare traction-assisted and conventional ER procedures was used to overcome selection bias. The success rate, en bloc resection rate, dissection time, dissection speed, and perioperative complications were compared. Results: A total of 314 patients were included in this study. After PSM, 34 patients were enrolled in the snare traction-assisted endoscopic resection group (STAER) and 102 patients were enrolled in the conventional endoscopic resection group (CER). STAER group had a higher dissection speed (6.60 vs. 5.20 mm2/min; P = .030) and shorter dissection time (76.00 vs. 76.50 minutes, P = .003). There were no significant differences in technique success rate, en bloc resection rate, and perioperative complications between the two groups. In subgroup analysis, the dissection speed of STAER was significantly higher than that of CER when the lesion length was 2-5 cm, underwent endoscopic full-thickness resection, and was located in the gastric antrum. Conclusions: STAER demonstrated a higher efficiency for gastric SMTs ≥ 2 cm, without increasing the perioperative complications. Further prospective studies are needed to assess the efficiency and safety of the STAER method.
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.