川北医学院学报2018，Vol.33Issue(2)：169-172,4.DOI:10.3969/j.issn.1005-3697.2018.02.007
胃固有肌层肿瘤内镜切除术中穿孔内镜闭合术与腹腔镜修补术的疗效比较
Comparison between endoscopic closure and laparoscopic repair for perfo-ration in endoscopic resection of gastric submucosal tumors originating from the muscularis propria layer
摘要
Abstract
Objective:To compare the effect between endoscopic closure and laparoscopic repair for perforation in endoscopic submucosal excavation (ESE) and Endoscopic full-thickness resection (EFR) of gastric submucosal tumors originating from the mus-cularis propria layer (SMTs),and to discuss the efficacy and safety of endoscopic closure in treatment of acute perforation.Methods:Totally 40 cases suffering perforation in ESE/EFR of SMTs were assigned to the laparoscopic repair group(n=20) and the endoscopic closure group (n=20).Results:There were 38 cases of mesenchymoma and 2 cases of liomyoma diagnosed by pathological examina-tion.There were significant differences in surgical duration and hospitalization costs of patients with perforation diameter less than 0.5 cm compared between two groups(P<0.05),but with no significant difference in patients with perforation diameter above than 0.5 cm between two groups(P>0.05).There was no case with postoperative hemorrhage,recurrence or metastasis after 5-32 months of follow-up.Conclusion:Compared with the laparoscopic repair,the endoscopic closure,with advantage of less surgical trauma,rapid recovery and less costs,is effective in treatment of perforation in endoscopic muscularis dissection (EMD) of SMTs.关键词
胃粘膜下肿瘤/固有肌层肿瘤/内镜下肌层剥离术/内镜切除/治疗性穿孔/腹腔镜辅助胃镜Key words
Gastric submucosal tumor/Tumors originating from the muscularis propria layer/Endoscopic muscularis dissection/Endoscopic resection/Perforation/Gastroscopic-assisted laparoscopic surgery分类
医药卫生引用本文复制引用
屠惠明,乔峤,许科斌,费伯健,杨帆,李捷,高其中..胃固有肌层肿瘤内镜切除术中穿孔内镜闭合术与腹腔镜修补术的疗效比较[J].川北医学院学报,2018,33(2):169-172,4.基金项目
江苏省“六大人才高峰”资助项目(2014-WSN-068)；无锡市科技局项目科技发展资金资助(CSE31N1403) （2014-WSN-068）
