尼龙绳联合钛夹荷包缝合在内镜胃壁全层切除术中的应用

Application of endoscopic purse-string sutures with titanium clips and endoloops for the gastric wall defect during endoscopic full-thickness resection

摘要:

目的??探讨尼龙绳联合钛夹荷包缝合在内镜下行胃壁全层切除术（EFTR）中的应用价值。方法?回顾分析该院15例胃黏膜下固有肌层肿瘤的住院患者采用尼龙绳联合金属钛夹行荷包缝合修补“主动穿孔”的方法行EFTR术的临床资料。结果?15例患者均经内镜手术将肿瘤完整切除，采用尼龙绳联合金属钛夹行荷包缝合修补EFTR术后的“主动穿孔”，15例患者均成功修补。平均所用钛夹（5.0±1.0）枚。随访6个月，手术创面愈合，未见肿瘤复发。结论?应用尼龙绳联合钛夹荷包缝合行EFTR术是安全、微创及快速康复的一种治疗方法。

Abstract:

Objective?To study the application value of endoscopic purse-string sutures with titanium clips and endoloops for the gastric wall defect during endoscopic full-thickness resection (EFTR).?Methods?Data of fifteen hospitalized patients with gastric submucosal tumor (SMT) undergone EFTR was reviewed. The patients were all applied with endoscopic purse-string sutures with titanium clips and endoloops, which was performed after the EFTR when the gastric walls were perforated artificially.?Results?The gastric tumors were complete successfully resected in the fifteen patients through endoscopic surgery, applied the purse-string sutures with titanium clips and endoloops after the EFTR when the gastric walls were perforated artificially. Approximately, five clips were utilized on average. Postoperative surgical wound healing was followed up for 6 months, no tumors recurred.?Conclusion?It is safe, minimally invasive treatment method for rapid rehabilitation in endoscopic full-thickness resection utilized purse- string sutures with titanium clips and endoloops.