دورية أكاديمية
Endoscopic Submucosal Dissection for Early Gastric Cancer using the Clutch Cutter: a large single-center experience
| العنوان: | Endoscopic Submucosal Dissection for Early Gastric Cancer using the Clutch Cutter: a large single-center experience |
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| المؤلفون: | Kazuya Akahoshi, Yasuaki Motomura, Masaru Kubokawa, Junya Gibo, Nobukatsu Kinoshita, Shigeki Osada, Kayo Tokumaru, Taizou Hosokawa, Naru Tomoeda, Yoshihiro Otsuka, Mie Matsuo, Masafumi Oya, Hidenobu Koga, Kazuhiko Nakamura |
| المصدر: | Endoscopy International Open, Vol 03, Iss 05, Pp E432-E438 (2015) |
| بيانات النشر: | Georg Thieme Verlag KG, 2015. |
| سنة النشر: | 2015 |
| المجموعة: | LCC:Diseases of the digestive system. Gastroenterology |
| مصطلحات موضوعية: | Diseases of the digestive system. Gastroenterology, RC799-869 |
| الوصف: | Background and study aims: The Clutch Cutter (CC) was developed to reduce the risk of complications related to endoscopic submucosal dissection (ESD) using knives. The CC is able to grasp and coagulate and/or incise the targeted tissue using electrosurgical current, like a biopsy technique. The aim of this study was to evaluate the efficacy and safety of ESD using the CC (ESD-CC) for early gastric cancer (EGC). Patients and methods: From June 2007 to March 2014, 325 consecutive patients with a diagnosis of EGC were enrolled in this prospective study. They had all satisfied the Japanese gastric cancer treatment guidelines for ESD indication, namely confirmation by preliminary endoscopy, endoscopic ultrasound, and endoscopic biopsies. The CC was used for all steps of ESD (marking, circumferential marginal incision, submucosal dissection, and hemostatic treatment). The therapeutic efficacy and safety were assessed. Results: The en-bloc resection rate was 99.7 % (324/325) and the R0 resection rate was 95.3 % (310/325). The mean operating time was 97.2 minutes. Perforation during ESD-CC occurred in one case (0.3 %), which was managed with conservative medical treatment after endoscopic closure of the perforation. Post-ESD-CC bleeding occurred in 11 cases (3.4 %), which were successfully treated by endoscopic hemostatic treatment. The R0 resection rate was significantly low in tumors > 20 mm (88.9 %), and in the exclusion indication group (73.7 %). Significant differences were seen in the mean operating time, depending upon tumor size, histologic type, location, and indication criteria. Conclusions: ESD-CC is a technically efficient, safe, and easy method for resecting EGC. |
| نوع الوثيقة: | article |
| وصف الملف: | electronic resource |
| اللغة: | English |
| تدمد: | 2364-3722 2196-9736 |
| Relation: | https://doaj.org/toc/2364-3722; https://doaj.org/toc/2196-9736 |
| DOI: | 10.1055/s-0034-1392509 |
| URL الوصول: | https://doaj.org/article/456a33ffc385417e9ebcc3532e73b1cf |
| رقم الأكسشن: | edsdoj.456a33ffc385417e9ebcc3532e73b1cf |
| قاعدة البيانات: | Directory of Open Access Journals |
Full Text Finder | تدمد: | 23643722 21969736 |
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| DOI: | 10.1055/s-0034-1392509 |