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中华胃肠内镜电子杂志

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. 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. 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
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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]. 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]. 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
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