Clinical application of suspensory incision and suture technique in endoscopic full-thickness resection for muscularis propria tumor of gastric fundus (with video)
10.3760/cma.j.cn321463-20191101-00734
- VernacularTitle:悬吊式切开缝合法在内镜全层切除胃底固有肌层肿瘤中的应用(含视频)
- Author:
Yongsheng SHI
1
;
Ningli CHAI
;
Enqiang LINGHU
;
Jingyuan XIANG
;
Longsong LI
;
Jiale ZOU
;
Xiangyao WANG
;
Xiangdong WANG
;
Ping TANG
Author Information
1. 山西医科大学第一医院消化内科，太原 030001
- From:
Chinese Journal of Digestive Endoscopy
2020;37(4):245-248
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To evaluate the clinical value of suspensory incision and suture technique in endoscopic full-thickness resection (EFTR) for muscularis propria tumor of gastric fundus.Methods:A retrospective analysis was performed on the data of 20 patients with muscularis propria tumor in gastric fundus and undergoing EFTR in the First Medical Center of PLA General Hospital from June 2017 to June 2019. Patients were divided into the observation group (9 cases) treated with suspensory incision and suture technique in EFTR and the control group (11 cases) treated with traditional EFTR method. The baseline data and perioperative data of the two groups were analyzed.Results:EFTR was successfully performed on all 20 patients. The tumor size of the observation group and the control group was 10.0 (7.5, 21.0) mm and 14.0 (10.0, 20.0) mm, respectively. The resection time of the two groups was 26.4±6.3 min and 35.5±11.4 min, respectively. The postoperative hospital stay was 6.4±1.0 d and 7.7±1.5 d, respectively. No postoperative delayed bleeding, perforation, or other complications occurred in the two groups.Conclusion:Using suspensory incision and suture technique is safe and effective during EFTR for muscularis propria tumor in gastric fundus, and can reduce operation time. This technique is worth applying in clinic.
