内镜黏膜下剥离术治疗早期食管癌及癌前病变的进展

Endoscopic submucosal dissection for treatment of early esophageal cancer and precancerous lesions

食管癌的发病率在世界范围内居恶性肿瘤第8位,内镜下治疗技术的发展给早期食管癌及癌前病变的治疗带来了巨大的变革.内镜黏膜下剥离术(endoscopic submucosaldissection,ESD)是一种新型内镜下切除技术,可以获得更高的完全切除率和更低的复发率,目前已成为内镜下切除治疗的标准方法.本文就ESD治疗早期食管癌及癌前病变的进展情况作一综述.

Esophageal cancer is the eighth most common form of cancer worldwide.Advances in endoscopic therapy have resulted in dramatic changes in the way early esophageal cancer and precancerous lesions are managed.Endoscopic submucosal dissection（ESD）is a newly developed resection technique that is able to achieve a high RO resection rate and a low local recurrence rate.Techniques of ESD have become established as standard methods of endoscopic resection.This review addresses some of the recent developments in the field of ESD for early esophageal cancer and precancerous lesions.