结肠镜EMR和ESD在早期结直肠癌及癌前病变治疗中的应用  

EMR and ESD in the endoscopic treatments for early-stage colorectal cancer and precancerous lesions

作　　者：伍秋宁 孙家琛 卢祎 林绪涛[1] 范德军[1] 胡民辉[1] 李初俊[1] Wu Qiuning;Sun Jiachen;Lu Yi;Lin Xutao;Fan Dejun;Hu Minhui;Li Chujun(Department of Gastrointestinal Endoscopy,The Sixth Affiliated Hospital of Sun Yat-sen University,Guangzhou 510655,Guang-dong,China)

机构地区：[1]中山大学附属第六医院消化内镜科,广东广州510655

出　　处：《结直肠肛门外科》2021年第6期536-541,共6页Journal of Colorectal & Anal Surgery

基　　金：国家重点研发计划资助(2017YFC1308800);中山大学附属第六医院横向课题(H202101162024041054)。

摘　　要：EMR和ESD是大部分早期结直肠癌及癌前病变的标准治疗方法,具有确切的成功率和可接受的并发症发生率。临床实践中需根据病变的大小、形态、部位等特点,本着整块切除的原则,选择最恰当的内镜切除方法,尽量避免分片切除。本文就EMR和ESD在早期结直肠癌及癌前病变治疗中的应用,围绕切除方法的选择、内镜切除新技术等进行述评。EMR and ESD are standard treatments for most early-stage colorectal cancer and precancerous lesions with a proven success rate and acceptable complication rate.The most appropriate endoscopic resection method should be selected according to the lesion’s size,shape,location,and other characteristics.It should be in line with the principle of en-bloc resection,and frag⁃ment resection should be avoided as far as possible.This article reviews the application of EMR and ESD in the treatment of early colorectal cancer and precancerous lesions,centering on the selection of resection methods,and the improvement of surgical procedures.

关 键 词：内镜下黏膜切除术 内镜黏膜下剥离术 早期结直肠癌 癌前病变 

分 类 号：R735.34[医药卫生—肿瘤]