ENDOSCOPIC RESECTION FOR EARLY GASTRIC CANCER AND FUTURE EXPECTATIONS
ENDOSCOPIC RESECTION FOR EARLY GASTRIC CANCER AND FUTURE EXPECTATIONS
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早期胃癌的内镜切除术和未来期望
DOI：
10.1111/j.1443-1661.2005.00545.x
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发表时间：
2005
影响因子：
5.3
通讯作者：
T. Gotoda
中科院分区：
文献类型：
--
作者：
Hisanao Hamanaka;T. Gotoda
考虑到手术风险以及胃切除术后患者生活质量较差，对没有淋巴结转移风险的患者进行内镜切除是明智的选择。早期胃癌（EGC）的内镜切除术（ER）现已成为日本的标准疗法，并且在其他国家也越来越被接受和经常使用。 ER治疗EGC的适应证、技术和病理评估方法要求较高，需要内镜医师密切遵循，以确保成功的治疗结果。直接解剖粘膜下层的 ER 技术（称为 ESD）的新发展允许整块切除较大的病变，尽管长期结果数据目前仍在进行中。本综述的目的是介绍进行适当治疗的 ER 方法并描述未来的期望。
Considering the risks of surgery and the patient's poor quality of life after gastrectomy, it is sensible to offer endoscopic resection for the patients without risk of lymph node metastasis. Endoscopic resection (ER) of early gastric cancer (EGC) is now standard therapy in Japan and is increasingly becoming accepted and regularly used in other countries. The indications, techniques, and pathological assessment methods of ER in the treatment of EGC are demanding and require the endoscopist to follow them closely in order to ensure successful outcomes. New developments in ER techniques to dissect the submucosa directly, called ESD, allow resections of larger lesions in en‐bloc, although long‐term outcome data are currently still in progress. The purposes of the present review are to introduce ER methods for carrying out proper treatment and to describe future expectations.