Endoscopic submucosal dissection of gastric adenomas using the clutch cutter

• 作者: Eikichi Ihara Eriko Yamaguchi Hidenobu Koga Hiroko Ikeda Junya Gibo Kayo Tokumaru Kazuaki Akahoshi Kazuaki Miyamoto Kazuhiko Nakamura Kazuya Akahoshi Masafumi Oya Masaru Kubokawa Shigeki Osada Takao Sato Yuki Shiratsuchi Yusuke Kimura
• 来源期刊: 世界胃肠内镜杂志：英文版（电子版）
• 学科: 医学
• 关键词: 内视镜的 submucosal 解剖 离合器切割器 胃的腺瘤
• 年，卷（期）: 2017,（7）
• 页码范围: 334-340
• 页数: 7页
• 分类号: R735.2

摘要

AIM To evaluate the efficacy and safety of endoscopic submucosal dissection(ESD) using the clutch cutter(CC)(ESD-CC) for gastric adenoma(GA).METHODS From June 2007 to August 2015,122 consecutive patients with histological diagnoses of GA from specimens resected by ESD-CC were enrolled in this prospective study.The CC was used for all ESD steps(marking,mucosal incision,submucosal dissection,and hemostatic treatment),and itstherapeutic efficacy and safety were assessed.RESULTS Both the en-bloc resection rate and the R0 resection rate were 100%(122/122).The mean surgical time was 77.4 min,but the time varied significantly according to tumor size and location.No patients suffered perforation.Post-ESD-CC bleeding occurred in six cases(4.9%) that were successfully resolved by endoscopic hemostatic treatment.CONCLUSION ESD-CC is a technically efficient,safe,and easy method for resecting GA.