腹腔镜与内镜联合手术治疗胃黏膜下肿瘤的可行性（附视频）

腹腔镜与内镜联合手术治疗胃黏膜下肿瘤的可行性（附视频）
Feasibility of laparoscopic and endoscopic cooperative surgery for gastric submucosal tumors (with video)

Abstract
BACKGROUND AND AIMS:
Laparoscopic gastric resection is widely used for gastric submucosal tumors (SMTs). However, determining an appropriate resection line using only the laparoscopic approach is difficult. We developed a laparoscopic and endoscopic cooperative surgery (LECS) technique by combining laparoscopic gastric resection with endoscopic submucosal dissection, and we have used this procedure to resect gastric SMTs. In this study, the procedure is presented and its safety and feasibility for resecting gastric SMTs are evaluated.
摘要
背景与目的：
腹腔镜胃切除广泛用于胃黏膜下肿瘤（SMT）。然而，确定一个适当的切除线，只使用腹腔镜的方法是困难的。我们开发了一种腹腔镜联合手术和内镜（LECS）腹腔镜胃切除内镜黏膜下剥离术相结合的技术，我们用这个程序来切除胃肿瘤。在这项研究中，过程和它的安全性和可行性进行切除胃肿瘤。

METHODS:
This retrospective study included 100 patients who underwent LECS for SMTs at the Department of Gastroenterological Surgery, Cancer Institute, between June 2006 and November 2014. The demographics, tumor histopathologic characteristics, and operative and follow-up data were reviewed.
方法：
这项回顾性研究纳入100例患者谁接受LECS在胃肠病部外科，肿瘤研究所SMTS，2006年6月和2014年11月的人口统计，肿瘤组织病理学特点和手术和后续数据之间进行了审查。

RESULTS:
Complete resection with negative surgical margins was achieved in all patients, and LECS was performed regardless of tumor location. The mean operation time was 174.3 minutes, with an estimated blood loss of 16.3 mL. In addition, the mean time until the initiation of oral intake was 1.4 days, and the mean postoperative hospital stay was 8.4 days. Moreover, no local or distant tumor recurrence was observed. The only severe adverse event was leakage, which was observed in 1 patient.
结果:
手术切缘阴性完整切除，实现了在所有患者中，与晶状体上皮细胞进行肿瘤位置无关。平均手术时间为174.3分钟，估计失血量为16.3毫升。此外，平均时间，直到开始口服摄入量为1.4天，平均术后住院天数为8.4天。此外，没有局部或远处的肿瘤复发。只有严重的不良事件是泄漏，这是观察到1例。

CONCLUSIONS:
LECS was performed with a reasonable operation time, low blood loss, and minimal adverse events. Therefore LECS is safe and feasible for resecting gastric SMTs.
结论：
晶状体上皮细胞是一个合理的时间进行手术，出血量低，和最小的不良事件。因此细胞是安全可行切除胃肿瘤。

原文：
Feasibility of laparoscopic and endoscopic cooperative surgery for gastric submu.pdf (634.58 KB, 下载次数: 0, 售价: 99 香叶)

2016-10-6 12:10 上传

点击文件名下载附件
腹腔镜与内镜联合手术治疗胃黏膜下肿瘤的可行性（附视频）

腹腔镜与内镜联合手术治疗胃黏膜下肿瘤的可行性（附视频）

Figure 1. The laparoscopic and endoscopic cooperative surgery (LECS) technique.
A, Endoscopic submucosal resection around the tumor.
B, The tip of the IT-2 knife is inserted into the perforation, and seromuscular dissection is initiated along the incision line of the submucosal layer.
C, Temporary closure by hand suturing.
D, Closure at the incision line using a laparoscopic stapling device.
E, Minimal stomach deformation after tumor resection using the LECS technique.
图1. 腹腔镜联合手术和内镜（LECS）技术。
A, 内镜黏膜下切除术在肿瘤周围。
B, It-2的刀尖插入穿孔和浆肌层夹层开始沿黏膜下层的切口线。
C, 暂时关闭手工缝合。
D, 闭合切口线使用腹腔镜缝合装置。
E, 使用LECS技术肿瘤切除后胃最小的变形。

游客，如果您要查看本帖隐藏内容请回复

谢谢分享！