Analysis of the therapeutic effect of double nylon rope purse string suture closing the postoperative wounds of the treatment of endoscopic full thickness resection for gastric submucosal tumors
- VernacularTitle:双尼龙绳荷包缝合法闭合内镜全层切除术治疗胃黏膜下肿瘤术后创面的疗效分析
- Author:
Shanshan WANG
1
;
Mengyao JI
1
;
Shuai PENG
1
;
Lei SHEN
1
Author Information
- Publication Type:Journal Article
- Keywords: endoscopic full thickness resection(EFR); purse string suture; postoperative wounds; gastric submucosal tumor(SMT)
- From: China Journal of Endoscopy 2025;31(4):25-31
- CountryChina
- Language:Chinese
- Abstract: Objective To evaluate the clinical value and safety of double nylon rope purse string suture closing the postoperative wounds of the treatment of endoscopic full thickness resection(EFR)for gastric submucosal tumors(SMT).Methods We retrospectively analyzed the clinical data of 104 patients with gastric SMT originating from the muscularis propria,from June 2020 to March 2023.According to different suture methods,they were divided into single nylon rope purse string suture group(48 cases)and double nylon rope purse string suture group(56 cases).The patients'operative,postoperative,and long-term follow-up conditions were evaluated.Results All tumors were completely resected under endoscopic guidance.The terms of lesion diameter in double nylon rope purse string suture group was bigger than that in single nylon rope purse string suture group,there was statistically significant difference between the two groups(P=0.040).In the single nylon rope purse string suture group,postoperative perforation occurred in 1 case,low fever occurred in 4 cases,and mild pain in the upper abdomen occurred in 6 cases,in the double nylon rope purse string suture group,there was no postoperative perforation,5 patients had low fever,and 6 patients had mild pain in the upper abdomen,there was no significant difference in postoperative complications between the two groups(P＞0.05).No postoperative cases were transferred to gastrointestinal surgery,and all patients were discharged smoothly.After 3 months,7 cases in the single nylon rope purse string suture group had titanium clips and/or nylon rope residue,while 18 cases in the double nylon rope purse string suture group still had titanium clips and/or nylon rope residue,and the difference between the two groups was statistically significant(P=0.037).Conclusion Compared with single nylon rope purse string suture,double nylon rope purse string suture can effectively close the postoperative wounds following gastric SMT with EFR(≥3 cm).
