Clinical value of dental floss traction-assisted endoscopic full-thickness resection for muscularis propria tumor in gastric fundus
10.3760/cma.j.issn.1007-5232.2018.10.007
- VernacularTitle:牙线辅助牵引法在内镜全层切除胃底固有肌层肿瘤中的作用
- Author:
Qiang SHI
1
;
Pinghong ZHOU
;
Yunshi ZHONG
;
Meidong XU
;
Bing LI
;
Shilun CAI
;
Zhipeng QI
;
Tao CHEN
;
Zhong REN
;
Liqing YAO
Author Information
1. 复旦大学附属中山医院内镜中心 上海消化内镜诊疗工程技术研究中心
- Keywords:
Retrospective study;
Endoscopic submucosal dissection;
Endoscopic full-thickness resection;
Submucosal tumor;
Treatment
- From:
Chinese Journal of Digestive Endoscopy
2018;35(10):727-731
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the clinical value of dental floss traction-assisted endoscopic full-thickness resection ( EFTR) for muscularis propria tumor in gastric fundus. Methods Twenty-four patients with muscularis propria tumor in gastric fundus and undergoing EFTR with traction of dental floss from January to December in 2016 in Endoscopy Center of Zhongshan Hospital were enrolled in the trial group. Another 24 patients undergoing traditional EFTR from January to December in 2015 were enrolled in the control group. The control group was paired with the trial group according to tumor size. The differences in tumor resection time, hospitalization time, and complication rate were compared between the two groups. Results There were no significant differences in the mean age and gender composition between the two groups ( both P>0. 05) . The tumor resection time of the trial group was shorter than that of the control group ( 10. 8 ± 2. 8 min VS 19. 0 ± 4. 7 min, t = 7. 298, P<0. 05 ) . There was no significant difference in postoperative hospital stay between the two groups ( 3. 2 ± 0. 5 days VS 3. 2 ± 0. 5 days, t=0. 291, P=0. 772) . No postoperative delayed bleeding or perforation and other complications occurred in the two groups. Conclusion Dental floss traction-assisted EFTR is safe and effective to treatment of muscularis propria tumors in gastric fundus, which can expose the tumor boundary, so that the surgical level may be clearer to simplify the operation and reduce the tumor resection time.
