摘要
目的探索内镜黏膜下剥离术治疗胃固有肌层肿瘤的可行性、疗效及安全性。方法对胃镜发现并由超声内镜和CT证实的胃固有肌层来源的肿瘤行内镜黏膜下剥离术治疗,若出现穿孔或难以完整切除的情况则给予腹腔镜介入治疗。结果共对20例患者成功进行内镜黏膜下剥离术治疗,操作时间40~120min,平均74.8min。切除肿瘤的最大直径1.5~3.5cm,平均2.6cm。其中3例因出现较大穿孔而需腹腔镜介入进行全层切除。所有患者均无严重并发症。术后病理诊断17例为间质瘤,3例为平滑肌瘤。结论内镜黏膜下剥离术治疗胃固有肌层肿瘤是安全有效的方法;部分肿瘤的完整切除需要腹腔镜的帮助。
Objective To explore the feasibility, efficacy and safety of endoscopic submucosal dissection (ESD) for tumors originating from gastric muscularis propria. Methods A total of 20 patients with tumors originating from gastric muscularis propria confirmed by EUS and CT scan underwent ESD. Laparoscopic intervention was applied in 3 cases when difficulties in en bloc removal or perforation occurred. Resuits The mean ESD procedure time was 74. 8 min (40-120 min), and the mean resected tumor size was 2. 6 cm ( 1.5-3.5 cm). No severe complication occurred. Pathological findings were 17 cases of gastrointestinal stromal tumors and 3 cases of leiomyoma. Conclusion ESD is an effective method for treating the tumors originating from gastric muscularis propria, and laparoscopic intervention is necessary for en bloc resection in some cases.
出处
《中华消化内镜杂志》
2012年第7期385-388,共4页
Chinese Journal of Digestive Endoscopy
基金
上海市卫生局局级课题(2010125)
关键词
胃肿瘤
内窥镜外科手术
腹腔镜
Stomach neoplasms
Endoscopic surgical procedures
Laparoscopes