Endoscopic therapy for early gastric cancer: Standard techniques and recent advances in ESD
Endoscopic therapy for early gastric cancer: Standard techniques and recent advances in ESD
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DOI：
10.3748/wjg.v20.i21.6425
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发表时间：
2014-06-07
影响因子：
4.3
通讯作者：
Kume, Keiichiro
中科院分区：
文献类型：
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作者：
Kume, Keiichiro
内窥镜下黏膜下剥离术(ESD)是目前公认的早期胃癌的内窥镜治疗方法。采用ESD技术，将早期胃癌大块标本整块切除。ESD可提高组织学诊断的准确性，并可降低复发率。然而，ESD的缺点是它的技术难度，因此，它与高并发症发生率、对先进内窥镜技术的需要以及漫长的手术时间有关。用于可持续发展教育的设备和技术的各种进步有助于克服这些缺点。(C)2014百仕登出版集团有限公司，版权所有。
The technique of endoscopic submucosal dissection (ESD) is now a well-known endoscopic therapy for early gastric cancer. ESD was introduced to resect large specimens of early gastric cancer in a single piece. ESD can provide precision of histologic diagnosis and can also reduce the recurrence rate. However, the drawback of ESD is its technical difficulty, and, consequently, it is associated with a high rate of complications, the need for advanced endoscopic techniques, and a lengthy procedure time. Various advances in the devices and techniques used for ESD have contributed to overcoming these drawbacks. (C) 2014 Baishideng Publishing Group Inc. All rights reserved.