Comparative analysis of modified STER and endoscopic submucosal excavation in the treatment of paracardial submucosal tumors
10.19405/j.cnki.issn1000-1492.2022.02.030
- Author:
Yabo Zhou
1
,
2
,
3
;
Kaiguang Zhang
4
;
Guizhou Wang
3
,
5
;
Baogang Chen
3
,
5
;
Qifeng Lu
3
,
5
;
Shuangping Wang
3
,
5
;
Ziyan Dai
3
,
5
Author Information
1. Dept of Gastroenterology, Afiliated Provincial Hospital of Anhui Medical University, Hefei 230000
2. Dept of Gastroenterology, Fuyang People &rsquo
3. s Hospital , Fuyang 236000
4. Dept of Gastroenterology, Afiliated Provincial Hospital of Anhui Medical University, Hefei 230000
5. Dept of Gastroenterology, Fuyang People &rsquo
- Publication Type:Journal Article
- Keywords:
paracardial submucosal tumor;
submucosal;
submucosal tunnel endoscopic resection;
endoscopic submucosal excavation
- From:
Acta Universitatis Medicinalis Anhui
2022;57(2):320-324
- CountryChina
- Language:Chinese
-
Abstract:
Abstract :To investigate the curative effects of modified submucosal tunnel endoscopic resection(STER) and endoscopic submucosal resection(ESE) in the treatment of paracardial submucosal tumors. Eighty-four patients with paracardial submucosal tumors diagnosed through digestive endoscopy and endoscopic ultrasonography signed informed consent forms, and they were randomly divided into observation group(n=42) and control group(n=42) with the help of the table of random numbers. Patients in the control group received ESE treatment. Patients in the observation group received modified STER surgery.The operation time, average hospitalization time and treatment cost of patients in STER group were(61.32±32.01) min,(8.11±2.42) d and(21.7±3.4) thousand Chinese Yuan respectively, which were better than those in ESE group(87.63±34.09) min,(10.05±2.84) d and(25.9±3.9) thousand Chinese Yuan. The difference was statistically significant(P<0.05). The average number of titanium clips used in the observation group was(5.00±1.37), and in the control group the average number was(4.68±1.25). The difference was not statistically significant. In the STER group, there were 2 cases of intraoperative perforation and 1 case of delayed bleeding. In the ESE group, there were 4 cases of intraoperative perforation and 3 cases of intraoperative uncontrollable bleeding. The incidence of postoperative complications in the STER group was lower than that in the ESE group. The postoperative pathological examination revealed that in both groups the tumors were mostly stromal tumor and leiomyoma. A few of the patients were suffering from lipomas and schwannomas. There was no significant difference in terms of the pathological composition of the patients between the two groups.
- Full text:2024122009554905365改良STER术与内镜挖除术...贲门旁黏膜下肿瘤的比较分析_周亚柏.pdf
