Endoscopic submucosal dissection for tumors originating from gastric muscularis propria
10.3760/cma.j.issn.1007-5232.2012.07.007
- VernacularTitle:内镜黏膜下剥离术治疗胃固有肌层肿瘤的疗效和安全性
- Author:
Chenghong FU
;
Hanbing XUE
;
Xiaobo LI
;
Lei SHEN
;
Jie ZHUANG
;
Hui CAO
;
Zhizheng GE
- Publication Type:Journal Article
- Keywords:
Stomach neoplasms;
Endoscopic surgical procedures;
Laparoscopes
- From:
Chinese Journal of Digestive Endoscopy
2012;29(7):385-388
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the feasibility,efficacy and safety of endoscopic submucosal dissection (ESD) for tumors originating from gastric muscularis propria.Methods A total of 20 patients with tumors originating from gastric muscularis propria confirmed by EUS and CT scan underwent ESD.Laparoscopic intervention was applied in 3 cases when difficulties in en bloc removal or perforation occurred.Results The mean ESD procedure time was 74.8 min (40-120 min),and the mean resected tumor size was 2.6 cm (1.5-3.5 cm).No severe complication occurred.Pathological findings were 17 cases of gastrointestinal stromal tumors and 3 cases of leiomyoma.Conclusion ESD is an effective method for treating the tumors originating from gastric muscularis propria,and laparoscopic intervention is necessary for en bloc resection in some cases.