Clinical analysis of submucosal tunnel docking endoscopic resection for giant submucosal tumors in the cardia
10.3760/cma.j.cn321463-20221014-00401
- VernacularTitle:内镜对穿隧道肿瘤切除术治疗贲门巨大黏膜下肿瘤的临床分析
- Author:
Zhentao LYU
1
;
Qiang SHI
;
Zhipeng QI
;
Enpan XU
;
Jingyi LIU
;
Zhanghan CHEN
;
Yuelun DONG
;
Pinghong ZHOU
;
Yunshi ZHONG
Author Information
1. 复旦大学附属中山医院内镜中心，上海 200032
- Keywords:
Cardia;
Submucosal tumors;
Endoscopic treatment;
Submucosal tunnel docking endoscopic resection
- From:
Chinese Journal of Digestive Endoscopy
2023;40(8):635-638
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the safety and efficacy of submucosal tunnel docking endoscopic resection (SDER) for the treatment of giant submucosal tumors in the cardia.Methods:A retrospective analysis was performed on data of patients with giant submucosal tumors in the cardia who were treated with SDER at the endoscopy center of Zhongshan Hospital, Fudan University and Xuhui District Central Hospital from January 2021 to January 2022. The surgical records, postoperative pathology, complications, hospitalization, and follow-up were analyzed.Results:A total of 6 patients were included. The mean long diameter of the lesions was 4.0 cm, all of which were located in the cardia. All patients successfully underwent SDER treatment with a surgical time of 23-42 min. Postoperative pathology revealed that 4 cases were leiomyomas and 2 cases were gastrointestinal stromal tumors. All lesions were completely resected. The postoperative hospital stay was 3-5 d, and no serious complications occurred after surgery. All patients recovered on follow-up gastroscopy at 3 and 6 months postoperatively.Conclusion:The preliminary conclusion is that SDER for the treatment of giant submucosal tumors in the cardia is safe, effective.
