浙江医学2018，Vol.40Issue(3)：269-272,290,5.DOI:10.12056/j.issn.1006-2785.2017.40.3.2017-1975
内镜下肿瘤挖除术治疗固有肌层来源胃肿瘤的临床分析
Clinical analysis of endoscopic submucosal excavation in treatment of gastric submucosal tumors originating from muscularis propria
陈佳园 1黄智铭1
作者信息
- 1. 325000 温州医科大学附属第一医院消化内科
- 折叠
摘要
Abstract
Objective To evaluate the safety,efficacy and complication of endoscopic submucosal excavation (ESE) for the resection of gastric submucosal tumors(SMTs) originating from the muscularis propria(MP).Methods Fifty nine patients with gastric SMTs of MP origin underwent ESE from January 2014 to January 2017 in our department.The characteristics of patients,and the clinical efficacy,safety of ESE,and pathological diagnoses were evaluated retrospectively.Results ESE was successfully performed in 58 cases,and one case was converted to open surgery.According to post-ESE pathological diagnosis,there were 51 cases of gastrointestinal stromal tumors,7 cases of leiomyomas,and 1 case of schwannoma.Seven patients developed perforation after operation,and all recovered after sealing the wound with titanium clip and conservative treatment.No residual or recurrent tumors were detected during the follow-up period.The risk factors for intraoperative perforation were tumor diameter,depth of lesion,and age of patients (P＜0.05 or 0.01).Conclusion ESE seems to be a feasible,safe,effective minimally invasive procedure for the resection of large gastric tumors originating fromthe MP.Larger tumor size,deeper lesion site and advanced age are risk factors for intraoperative perforation during ESE treatment.关键词
内镜黏膜下肿瘤挖除术/固有肌层/胃黏膜下肿瘤/并发症Key words
Endoscopic submucosal excavation/Muscularis propria/Gastric submucosal tumor/Complications引用本文复制引用
陈佳园,黄智铭..内镜下肿瘤挖除术治疗固有肌层来源胃肿瘤的临床分析[J].浙江医学,2018,40(3):269-272,290,5.
