Comparison of clinical efficacy of different mucosal incision methods in endoscopic submucosal dissection for the treatment of gastric submucosal tumors
- VernacularTitle:不同黏膜切口方式在内镜黏膜下剥离术治疗胃黏膜下肿物中的临床疗效比较
- Author:
Xinglin CHEN
1
;
Ke WEI
1
;
Yuanyuan CAI
1
;
Qinqin QI
1
;
Zhemin WANG
1
;
Liuyong CHEN
1
;
Bin LIU
1
Author Information
- Publication Type:Journal Article
- Keywords: endoscopic submucosal dissection(ESD); gastric submucosal tumors; incision; complications; complete resection
- From: China Journal of Endoscopy 2025;31(3):7-12
- CountryChina
- Language:Chinese
- Abstract: Objective To explore the clinical efficacy of different mucosal incision methods in endoscopic submucosal dissection(ESD)for the treatment of gastric submucosal tumors.Methods A retrospective analysis was conducted on the clinical data of 30 patients with gastric submucosal tumors treated with ESD from July 2022 to March 2024.They were divided into a circular group(n=15)and a longitudinal group(n=15)based on different mucosal incision methods.Then compare the pathological data,clinical efficacy,surgical outcomes,and complications between the two groups.Results There were no statistically significant differences between the two groups in length of hospital stay,hospitalization costs,lesion diameter,lesion location and lesion nature(P＞0.05).The surgical time of the longitudinal group was significantly shorter than that of the circular group,and the difference was statistically significant(P＜0.05);There was no statistical significant in the incidence of intraoperative complications in the longitudinal group and the circular group(P＞0.05);The complete resection rate of the longitudinal group was lower than that of the circular group,but the difference was not statistically significant(P＞0.05).Conclusion ESD treatment for gastric submucosal tumors is safe and effective,and the longitudinal incision can shorten the surgical time compared to the circular incision.Both methods have the characteristics of low incidence of complications and high complete resection rate,and are worthy of clinical application.
