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Submucosal tunnel endoscopic resection for extraluminal tumors: a novel endoscopic method for en bloc resection of predominant extraluminal growing subepithelial tumors or extra-gastrointestinal tumors (with videos) 期刊论文

编号：

094eebee-6acd-4e76-92e4-be9f072e496c
作者：

Cai, MingYan(蔡明琰)#^[1,2]Zhu, BoQun(朱博群)^[1,2]Xu, MeiDong^[1,2];Qin, WenZheng(秦文政)^[1,2]Zhang, YiQun^[1,2];Chen, WeiFeng^[1,2];Ooi, Marie^[3];Li, QuanLin(李全林)^[1,2]Yao, LiQing(姚礼庆)^[1,2]Zhou, PingHong^[1,2];
语种：

English
期刊：

GASTROINTESTINAL ENDOSCOPY ISSN：0016-5107 2018 年 88 卷 1 期 (160 - 167) ; JUL
收录：
摘要：

Background and Aims: The management of subepithelial tumors with a predominant extraluminal growth pattern or extra-GI tumors can be challenging and traditionally requires a surgical resection that is not only invasive but may carry a significant risk of morbidity and mortality. We aimed to assess the feasibility, safety, and efficacy of a novel endoscopic technique termed submucosal tunnel endoscopic resection for extraluminal tumors (STER-ET). Methods: We prospectively enrolled patients who underwent STER-ET for GI subepithelial tumors with a predominant extraluminal growth pattern or extra-GI tumors located at the level of cardia or the proximal part of the lesser curvature of the stomach seen on cross-sectional imaging between January 2016 and March 2017. Results: Eight patients underwent STER-ET. The mean (+/- standard deviation) tumor size was 2.8 +/- 0.6 cm and 2.3 +/- 0.8 cm in longest and shortest dimension, respectively. The average procedure time was 67 +/- 4.4 minutes. The rates of curative en bloc resection and en bloc retrieval was 100% and 87.5%, respectively. On final histology, 6 tumors were GI stromal tumors, 1 was a schwannoma, and 1 was a foregut cyst. Five patients had capnoperitoneum during the procedure and required abdominal decompression. One patient had a small mucosotomy successfully treated with a hemostatic clip. There were no major adverse events or deaths. The median length of hospital stay was 3 days. There was no residual tumor on surveillance imaging after a mean follow-up period of 10.0 +/- 2.1 months. Conclusions: STER-ET is a novel technique that appears to be safe and effective in achieving a curative resection for GI subepithelial tumors with a predominantly extraluminal growth pattern or extraluminal tumors in a selected group of patients. However, larger studies are required to validate our finding.
推荐引用方式
GB/T 7714：

Cai Ming-Yan,Zhu Bo-Qun,Xu Mei-Dong, et al. Submucosal tunnel endoscopic resection for extraluminal tumors: a novel endoscopic method for en bloc resection of predominant extraluminal growing subepithelial tumors or extra-gastrointestinal tumors (with videos) [J].GASTROINTESTINAL ENDOSCOPY,2018,88(1):160-167.
APA：

Cai Ming-Yan,Zhu Bo-Qun,Xu Mei-Dong,Qin Wen-Zheng,&Zhou Ping-Hong.(2018).Submucosal tunnel endoscopic resection for extraluminal tumors: a novel endoscopic method for en bloc resection of predominant extraluminal growing subepithelial tumors or extra-gastrointestinal tumors (with videos) .GASTROINTESTINAL ENDOSCOPY,88(1):160-167.
MLA：

Cai Ming-Yan, et al. "Submucosal tunnel endoscopic resection for extraluminal tumors: a novel endoscopic method for en bloc resection of predominant extraluminal growing subepithelial tumors or extra-gastrointestinal tumors (with videos)" .GASTROINTESTINAL ENDOSCOPY 88,1(2018):160-167.

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