摘要
胃癌是危害我国人民健康的重大疾病之一。内镜黏膜下剥离术(endoscopic submucosal dissection,ESD)作为内镜下治疗消化道病变的微创手术,目前国际多项指南和共识均推荐内镜下切除为早期胃癌的首选治疗方式。作为治疗胃部非浸润性肿瘤和早期胃癌的首选治疗方式,ESD具有侵袭性小、一次性完整切除较大黏膜病变、病理诊断准确、术后复发率低及康复快等优势和特点,在临床中发挥了重要作用。其中,ESD围术期是指从确定ESD手术至与本次手术有关的治疗基本结束为止的一段时间,包括术前准备、术中操作、术后恢复至医源性溃疡愈合的全过程。该指南对胃ESD围术期,包括治疗的适应证和禁忌证、胃ESD术前准备、术中操作、术中和(或)术后并发症和术后标本的处理等方面进行详细阐述,期望该指南能够在临床实践中为医生提供切实的帮助,促使中国未来胃ESD的围术期管理更加规范和专业,期待随着研究的发展和技术的进步。
Gastric cancer became one of the important public health issues endangering people＇s health in China. Currentl）5 endoscopic submucosal dissection （ESD） has been used for the curative resection of the early gastric cancer （EGC） without lymph node metastasis （LNM）. Endoscopic resection has several advantages, including less invasiveness, permitting en bloc, histologically completed resection, accurate pathological diagnosis, lower recurrent rate and rapid recovery The perioperative period of ESD is the time period describing the duration of a patient＇s endoscopic operative procedure; this commonly includes ward admission, indication, contraindication, preoperative preparation, endoscopic operation, postoperative complications, recovery and the disposal of specimen. This guideline is intended to provide information that may assist endoscopists in providing care to patients. The other reason to write this guideline is to familiarize endoscopists not only with the general indications of the ESD procedure for EGC and possible complications but also with the standard operation procedure.
出处
《中国实用内科杂志》
CAS
CSCD
北大核心
2017年第12期1055-1068,共14页
Chinese Journal of Practical Internal Medicine
基金
国家科技部科技支撑计划(2015BAll3809)
北京市科委科技北京百名领军人才培养工程(Z151100000315018)
北京市科委健康培育项目(Z151100003915097)
北京市卫生局(首发)重点攻关计划(首发2014-1.2021)
北京市卫计委重点攻关首发基金项目(首发2016-1-2022)
关键词
胃癌
内镜黏膜下剥离术
指南
gastric cancer
endoscopic submucosal dissection
guidelines
