磁牵引技术辅助早期胃癌内镜黏膜下剥离术

doi:10.3877/cma.j.issn.2095-7157.2021.01.005

中华胃肠内镜电子杂志 ›› 2021, Vol. 08 ›› Issue (01) : 29 -32. doi: 10.3877/cma.j.issn.2095-7157.2021.01.005

所属专题：文献；

论著

磁牵引技术辅助早期胃癌内镜黏膜下剥离术

卢桂芳¹, 任牡丹¹, 严小鹏², 殷燕¹, 马锋³, 赵倩¹, 卢新兰¹, 张志勇¹, 吕毅²^,^†(

), 和水祥¹^,^†(

)

^1. 710061　西安，西安交通大学第一附属医院消化内科
^2. 710061　西安，西安交通大学精准外科与再生医学国家地方联合工程研究中心；710061　西安，西安交通大学第一附属医院肝胆外科
^3. 710061　西安，西安交通大学精准外科与再生医学国家地方联合工程研究中心

收稿日期:2020-04-08 出版日期:2021-02-15
通信作者: 吕毅, 和水祥
基金资助:
西安交通大学第一附属医院新医疗新技术项目(XJFYF-2020N1)

Magnetic assisted endoscopic submucosal dissection for early gastric cancer

Guifang Lu¹, Mudan Ren¹, Xiaopeng Yan², Yan Yin¹, Feng Ma³, Qian Zhao¹, Xinlan Lu¹, Zhiyong Zhang¹, Yi Lv²^,^†(), Shuixiang He¹^,^†()

^1. Department of Gastroenterology, The First Affiliated Hospital of Xi′an Jiaotong University 710061, China
^2. National and Local Joint Engineering Research Center for Precision Surgery & Regenerative Medicine, The First Affiliated Hospital of Xi′an Jiaotong University 710061, China; Department of Hepatobiliary Surgery, The First Affiliated Hospital of Xi′an Jiaotong University 710061, China
^3. National and Local Joint Engineering Research Center for Precision Surgery & Regenerative Medicine, The First Affiliated Hospital of Xi′an Jiaotong University 710061, China

Received:2020-04-08 Published:2021-02-15
Corresponding author: Yi Lv, Shuixiang He

全文 ( ) 下载PDF ( ) 导出引用

引用本文：

卢桂芳, 任牡丹, 严小鹏, 殷燕, 马锋, 赵倩, 卢新兰, 张志勇, 吕毅, 和水祥. 磁牵引技术辅助早期胃癌内镜黏膜下剥离术[J/OL]. 中华胃肠内镜电子杂志, 2021, 08(01): 29-32.

Guifang Lu, Mudan Ren, Xiaopeng Yan, Yan Yin, Feng Ma, Qian Zhao, Xinlan Lu, Zhiyong Zhang, Yi Lv, Shuixiang He. Magnetic assisted endoscopic submucosal dissection for early gastric cancer[J/OL]. Chinese Journal of Gastrointestinal Endoscopy(Electronic Edition), 2021, 08(01): 29-32.

目的

评价体外永磁体牵引技术辅助内镜黏膜下剥离术(ESD)的可行性与安全性。

方法

选取2020年3月26日西安交通大学第一附属医院消化内科收治的1例胃早癌患者，对胃窦早癌患者实施体外永磁体牵引辅助ESD手术治疗，记录手术时间、是否完整切除及有无并发症等资料。

结果

顺利完成ESD手术治疗，磁牵引装置从开始准备到完成病变牵引用时3 min，其中体内磁标记用时1.3 min，牵引完成后至病变完全切下来共用时约4.5 min。病变完整切除，无出血、穿孔等并发症发生。

结论

体外永磁体牵引技术辅助ESD可很好地暴露手术视野，此方法简便有效、成本低廉，适合进一步推广。

关键词: 磁牵引, 内镜黏膜下剥离术, 早癌

Objective

To evaluate the feasibility and safety of Magnetic Anchor-Guided Endoscopic Submucosal Dissection(MAG-ESD).

Methods

Patients with early gastric antral cancer were treated with MAG-ESD, and operation time, complete resection and complications were recorded.

Results

The surgical treatment of ESD was successfully completed. The magnetic device took 3.0 minutes from the beginning of preparation to the completion of the labeling, of which the magnetic labeling took 1.3minutes.After the traction was completed, it was about 4.5 minutes for completely cut.There were no complications such as bleeding and perforation.

Conclusion

MAG-ESD can well expose the surgical field. This method is simple, effective, low cost, and suitable for further promotion.

Key words: Magnetic anchor guided, ESD, Early cancer

图1 磁牵引技术辅助早期胃癌内镜黏膜下剥离

[1]	Matsuzaki I, Hattori M, Hirose K, et al.Magnetic anchor-guided endoscopic submucosal dissection for gastric lesions (with video)[J]. Gastrointest Endosc, 2018, 87(6): 1576-1580.
[2]	Matsuzaki I, Hattori M, Yamauchi H, et al.Magnetic anchor-guided endoscopic submucosal dissection for colorectal tumors (with video)[J]. Surg Endosc, 2020, 34(2): 1012-1018.
[3]	Isobe Y, Nashimoto A, Akazawa K, et al.Gastric cancer treatment in Japan: 2008 annual report of the JGCA nationwide registry[J]. Gastric Cancer, 2011, 14(4): 301-316.
[4]	Libanio D, Pimentel-Nunes P, Dinis-Ribeiro M. Complications of endoscopic resection techniques for upper GI tract lesions[J]. Best Pract Res Clin Gastroenterol, 2016, 30(5): 735-748.
[5]	Lee BI.Debates on colorectal endoscopic submucosal dissection-traction for effective dissection: gravity is enough[J]. Clin Endosc, 2013, 46(5): 467-471.
[6]	Chen PJ, Huang WC, Wang HP, et al.Percutaneous transgastric traction-assisted esophageal endoscopic submucosal dissection: a randomized controlled trial in a porcine model[J]. Scand J Gastroenterol, 2012, 47(11): 1386-1393.
[7]	Lee SH, Gromski MA, Derevianko A, et al.Efficacy of a prototype endoscope with two deflecting working channels for endoscopic submucosal dissection: a prospective, comparative, ex vivo study[J]. Gastrointest Endosc, 2010, 72(1): 155-160.
[8]	Higuchi K, Tanabe S, Azuma M, et al.Double-endoscope endoscopic submucosal dissection for the treatment of early gastric cancer accompanied by an ulcer scar (with video)[J]. Gastrointest Endosc, 2013, 78(2): 266-273.
[9]	Gotoda T, Oda I, Tamakawa K, et al.Prospective clinical trial of magnetic-anchor-guided endoscopic submucosal dissection for large early gastric cancer (with videos)[J]. Gastrointest Endosc, 2009, 69(1): 10-15.
[10]	万新月，于红刚．新型磁力锚导引系统在内镜黏膜下剥离术中应用的动物实验研究(含视频)[J]．中华消化内镜杂志，2017，34(12): 897-899.
[11]	Matsuzaki I, Miyahara R, Hirooka Y, et al.Simplified magnetic anchor-guided endoscopic submucosal dissection in dogs (with videos)[J]. Gastrointest Endosc, 2014, 80(4): 712-716.
[12]	Guo LJ, Ye L, Huang ZY, et al.Magnetic beads-assisted endoscopic submucosal dissection of duodenal heterotopic gastric mucosa with fibrosis[J]. Endoscopy, 2019, 51(5): E113-E115.
[13]	Ye L, Yuan X, Pang M, et al.Magnetic bead-assisted endoscopic submucosal dissection: a gravity-based traction method for treating large superficial colorectal tumors[J]. Surg Endosc, 2019, 33(6): 2034-2041.

[1]	兰华, 高丽莎, 申明, 张铭光. 内镜黏膜下剥离术后溃疡出血的研究进展[J/OL]. 中华普外科手术学杂志(电子版), 2024, 18(04): 467-469.
[2]	姚明, 高恒飞, 陶亮, 王萌. 内镜黏膜下剥离术与手术治疗未分化型早期胃癌疗效的Meta分析[J/OL]. 中华普外科手术学杂志(电子版), 2023, 17(01): 46-51.
[3]	郭小琦, 张璞, 李小军, 余明, 王博. 口服醋酸泼尼松联合局部注射曲安奈德对食管早癌ESD术后食管狭窄及肺部感染的预防疗效分析[J/OL]. 中华肺部疾病杂志(电子版), 2024, 17(02): 288-291.
[4]	侯超, 潘美辰, 吴文明, 黄兴广, 李翔, 程凌雪, 朱玉轩, 李文波. 早期食管癌及上皮内瘤变内镜黏膜下剥离术后食管狭窄的危险因素[J/OL]. 中华消化病与影像杂志(电子版), 2023, 13(06): 383-387.
[5]	刘晗, 李惠, 朱宇新, 于淼, 李莞盈, 王爽, 狄育竹, 宁丹丹, 曲波. 新型生物材料在内镜黏膜下剥离术中的应用[J/OL]. 中华消化病与影像杂志(电子版), 2023, 13(03): 167-171.
[6]	陈磊, 高苏俊, 王璐, 倪修凡, 史茜菁, 朱振. 糖皮质激素序贯疗法预防环周食管浅表肿瘤内镜黏膜下剥离术后狭窄的研究[J/OL]. 中华临床医师杂志(电子版), 2024, 18(02): 159-165.
[7]	陶海燕, 金晓维, 郁海静, 欧阳皓, 张娟, 张海芳. 行内镜黏膜下的剥离术治疗老年大肠侧向发育型肿瘤的临床观察[J/OL]. 中华临床医师杂志(电子版), 2023, 17(11): 1137-1141.
[8]	吴慧银, 刘晓冰, 杜康, 杜健, 王盈盈, 陈炫. ESD 治疗伴发食管胃静脉曲张的食管早癌及癌前病变围术期护理经验[J/OL]. 中华胃肠内镜电子杂志, 2024, 11(04): 273-275.
[9]	曹友红, 吕翔, 张康伟, 袁晨, 徐甜, 唐月华, 马亦旻, 邢一鸣, 张以洋. 基于EUS 引导下ESD 对食管上皮下鱼刺的治疗[J/OL]. 中华胃肠内镜电子杂志, 2024, 11(04): 243-247.
[10]	胡兵. 食道早癌内镜黏膜下剥离术(ESD)[J/OL]. 中华胃肠内镜电子杂志, 2024, 11(03): 216-216.
[11]	袁静, 王楠钧, 高飞, 张楠, 姬翔, 王湛博, 石怀银. 内镜病理联合讨论在消化病理专科培训中的探索与体会[J/OL]. 中华胃肠内镜电子杂志, 2024, 11(03): 204-206.
[12]	张其德. 内镜下精准肌层剥离术在伴有黏膜下层纤维化/疤痕的早期胃癌治疗的作用初探(视频)[J/OL]. 中华胃肠内镜电子杂志, 2024, 11(02): 144-144.
[13]	倪修凡, 陈磊, 印健, 张利, 高苏俊, 朱振. 内镜下不同术式治疗直肠神经内分泌肿瘤临床研究[J/OL]. 中华胃肠内镜电子杂志, 2023, 10(03): 173-179.
[14]	曹友红, 马亦旻, 张康伟, 孔令超, 徐甜, 邢一鸣, 吕奇珠, 姜云方, 徐桂芳. 内镜下新型金属夹联合圈套器辅助内镜下黏膜切除术治疗直肠神经内分泌瘤疗效及安全性分析[J/OL]. 中华胃肠内镜电子杂志, 2023, 10(01): 41-45.
[15]	齐凤祥, 齐向娟. 内镜黏膜下剥离术治疗老年人早期胃癌疗效分析[J/OL]. 中华老年病研究电子杂志, 2023, 10(04): 18-22.

阅读次数

全文

摘要

选择文件类型/文献管理软件名称

选择包含的内容

Magnetic assisted endoscopic submucosal dissection for early gastric cancer

模态框（Modal）标题

选择文件类型/文献管理软件名称

选择包含的内容

Magnetic assisted endoscopic submucosal dissection for early gastric cancer