Clinical application of endoscopic resection using snares in treatment of gastric submucosal tumors
- VernacularTitle:采用圈套器行内镜下切除术在胃黏膜下肿物治疗中的临床应用效果
- Author:
Manman LU
1
;
Zhenjuan LI
;
Shanshan XU
;
Huimin ZHANG
;
Xueyan WANG
;
Jiaxin LI
;
Runzhao QUAN
;
Hao ZHANG
;
Hui DING
;
Xiuling LI
Author Information
- Keywords: submucosal tumors(SMTs); endoscopic full thickness resection(EFR); endoscopic submucosal dissection(ESD); snares; disposable endoscopic submucosal dissection knife; adverse reaction
- From: China Journal of Endoscopy 2024;30(11):39-46
- CountryChina
- Language:Chinese
- Abstract: Objective To investigate the clinical efficacy and safety of endoscopic resection using snares for the treatment of gastric submucosal tumors(SMTs).Methods 66 patients diagnosed with gastric SMTs and treated with endoscopic resection from August 2017 to August 2023 were retrospectively analyzed and divided into the snare group(endoscopic resection using snares,n=33)and the traditional resection group(endoscopic resection using a traditional disposable incision knife,n=33).The operation time,overall resection rate,incidence of adverse reactions,operation cost,hospitalisation cost,and the post-operative hospital days were compared between the two groups.Results The lesion diameter was 8.00(6.00,14.00)mm in the snare group and 8.00(7.50,10.00)mm in the traditional resection group,the difference between the two groups was not statistically significant(P>0.05);The operative time in the snare group was significantly shorter than that in the traditional resection group[26.00(19.00,30.50)min vs 33.00(22.50,49.50)min],the difference was statistically significant(P<0.05);The overall resection rate in both groups was 100.0%;Neither group of patients had intraoperative perforation.There were no statistically significant differences in the incidence of adverse reactions such as intraoperative bleeding,abdominal pain and fever between the two group(P>0.05);The operative cost of the snare group was significantly lower than the traditional endoscopic resection group[(8 642.18±1 078.56)yuan vs(13 266.45±2 160.80)yuan],the difference was statistically significant(P<0.05).Conclusion Compared with traditional surgical instruments,endoscopic resection of gastric SMTs using snares has a shorter operating time,lower surgical costs,safe and effective,making it worthy of promotion.
