全层切除的未来-设备，适应症，机器人，缺失的东西

Techniques in Gastrointestinal Endoscopy Pub Date : 2019-01-01 DOI:10.1016/j.tgie.2019.03.010

Philip WY Chiu MD (CUHK), MBChB (CUHK), FRCSEd, FCSHK, FHKAM (Surgery), FASGE

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引用次数: 0

摘要

近年来，内镜下粘膜剥离、经口内镜下肌切开术、粘膜下隧道内镜切除等技术的进步，使得治疗性内镜从治疗腔内瘤变扩展到腔外瘤变。内镜下全层切除(EFTR)的性能允许整体切除腔内和腔外肿瘤，并有足够的切除边缘。EFTR目前适用于胃肠道间质瘤、早期胃肠道肿瘤伴未切除或复发的腺瘤或内镜切除后的肿瘤。本章回顾了EFTR的设备和技术，文献报道的临床结果以及EFTR可能的未来发展。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Future of full thickness resection – Devices, indications, robotics, what is missing

Recently, technological advances through endoscopic submucosal dissection, per oral endoscopic myotomy, and submucosal tunnel endoscopic resection allowed the extension of therapeutic endoscopy from treatment of luminal to extraluminal neoplasia. The performance of endoscopic full thickness resection (EFTR) allowed en bloc resection of luminal and extraluminal neoplasia with adequate resection margins. EFTR is currently indicated for treatment of gastrointestinal stromal tumors, early GI neoplasia with nonlifting or recurrent adenoma or neoplasia after endoscopic resection. This chapter reviews the devices and technologies used for EFTR, the clinical results reported in the literature as well as possible future developments for EFTR.

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来源期刊

Techniques in Gastrointestinal Endoscopy GASTROENTEROLOGY & HEPATOLOGY-

自引率

0.00%

发文量

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.