Closure techniques in exposed endoscopic full-thickness resection:Overview and future perspectives in the endoscopic suturing era  

作　　者：Antonino Granata Alberto Martino Dario Ligresti Francesco Paolo Zito Michele Amata Giovanni Lombardi Mario Traina 

机构地区：[1]Digestive Endoscopy Service,Department of Diagnostic and Therapeutic Services,IRCCS–ISMETT,Palermo 90127,Italy [2]Department of Gastroenterology and Digestive Endoscopy,AORN“Antonio Cardarelli”,Napoli 80131,Italy

出　　处：《World Journal of Gastrointestinal Surgery》2021年第7期645-654,共10页世界胃肠外科杂志（英文版）（电子版）

摘　　要：Exposed endoscopic full-thickness resection(EFTR)without laparoscopic assistance is a minimally invasive natural orifice transluminal endoscopic surgery technique that is emerging as a promising effective and safe alternative to surgery for the treatment of muscularis propria-originating gastric submucosal tumors.To date,various techniques have been used for the closure of the transmural postEFTR defect,mainly consisting in clip-and endoloop-assisted closure methods.However,the recent advent of dedicated tools capable of providing full-thickness defect suture could further improve the efficacy and safety of the exposed EFTR procedure.The aim of our review was to evaluate the efficacy and safety of the different closure methods adopted in gastric-exposed EFTR without laparoscopic assistance,also considering the recent advent of flexible endoscopic suturing.

关 键 词：Endoscopic full-thickness resection Exposed endoscopic full-thickness resection Full-thickness resection Natural orifice transluminal endoscopic surgery Endoscopic surgery Endoscopic suturing 

分 类 号：R735.2[医药卫生—肿瘤]