2-STEP ENDOSCOPIC RESECTION OF GASTRIC LEIOMYOMAS

被引：26

作者：

SPINELLI, P

CERRAI, FG

CAMBARERI, AR

MERONI, E

PIZZETTI, P

机构：

[1] Endoscopy Division, Istituto Nazionale Tumori, Milan, 20133

来源：

SURGICAL ENDOSCOPY-ULTRASOUND AND INTERVENTIONAL TECHNIQUES | 1993年 / 7卷 / 02期

关键词：

GASTRIC POLIPECTOMY; ENDOSCOPIC ULTRASOUND;

D O I：

10.1007/BF00704385

中图分类号：

R61 [外科手术学];

学科分类号：

摘要：

Our two-step technique for endoscopic treatment of gastric leiomyomas is illustrated. From January 1979 to June 1991, nine symptomatic patients with sessile leiomyomas of the stomach were treated at the Endoscopy Division of Istituto Nazionale Tumori, Milan. The diagnosis was achieved by means of endoscopic observation of the lesion and, when possible, by ultrasound endoscopy. This new technique consists of first removing superficial portion of the tumor by electrosurgical snare. Second, a cleavage plane is found within the proper muscle layer; the tumor is enucleated as much as possible by tightening the snare around it and creating a pseudo-stalk. No major complication occurred nor were any recurrences observed at 21.8 months in the 7/9 patients treated by endoscopy alone. Endoscopic therapy was performed on an outpatient basis and only large lesions required short hospitalization.

引用

页码：90 / 92

页数：3

共 7 条

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