内镜黏膜下剥离术治疗幽门管早期癌及癌前病变的临床价值研究(含视频)

2011年3月—2020年1月，在浙江省肿瘤医院内镜中心行内镜黏膜下剥离术治疗，经病理确诊的15例幽门管早期癌及癌前病变病例纳入回顾性总结和分析，其中低级别上皮内瘤变7例、高级别上皮内瘤变3例、早期胃癌5例。15例均为R0完整切除，平均手术时间55.2 min(35～78 min)。仅1例术后出现迟发性出血，其余14例...

Clinical value of endoscopic submucosal dissection For early cancer and precancerous in the pylorus (with video)

Clinicopathological data of 15 patients with pyloric early cancer and precancerous lesions, who received endoscopic submucosal dissection (ESD) in Zhejiang Cancer Hospital from March 2011 to January 2020 were retrospectively analyzed. Postoperative pathology showed 7 cases of low-grade intraepithelial neoplasia, 3 cases of high-grade intraepithelial neoplasia, and 5 cases of early gastric cancer. R0 complete resection was achieved in all patients. The mean operation time was 55.2 min (35-78 min). One patient had delayed postoperative bleeding, and no other complications such as bleeding, perforation or abdominal pain occurred in other 14 patients. No recurrence, metastasis or pyloric stenosis was found during the follow-up of 31.3 months (1-106 months). ESD is safe and effective for early cancer and precancerous lesions in the pylorus.