内镜黏膜下剥离术治疗有症状的结肠巨大脂肪瘤  

Endoscopic submucosal dissection for symptomatic giant colonic lipomas

作　　者：练晶晶 陈涛 王玉 初元 张海斌 曹佳 徐美东 Lian Jingjing;Chen Tao;Wang Yu;Chu Yuan;Zhang Haibin;Cao Jia;Xu Meidong(Department of Digestive Endoscopy,Shanghai East Hospital,Shanghai 200032,China)

机构地区：[1]上海市东方医院消化内镜科,上海200032

出　　处：《中华消化内镜杂志》2023年第9期734-737,共4页Chinese Journal of Digestive Endoscopy

基　　金：浦东新区卫健委面上项目(PW2020A-40)。

摘　　要：探讨内镜黏膜下剥离术(endoscopic submucosal dissection,ESD)治疗有临床症状的结肠巨大脂肪瘤(≥5 cm)的疗效和安全性。2018年12月—2021年12月,上海市东方医院消化内镜科收治巨大结肠脂肪瘤患者8例,患者均成功行ESD完整切除,完整切除率100%,切除病变长径5.5~9.0 cm,平均6.0 cm。ESD操作耗时25~80 min,平均41 min。术中极少量出血均通过热活检钳电凝止血成功,2例术中发生小穿孔,均成功缝合。患者术后无腹痛、发热,亦无迟发性出血或迟发性穿孔;住院时间3~5 d,平均3 d;随访8~36个月,无一例病灶残留或复发。可见,ESD治疗结肠巨大脂肪瘤安全有效,可避免行外科手术切除。To evaluate the efficacy and safety of endoscopic submucosal dissection(ESD)for the treatment of symptomatic giant colonic lipomas(≥5 cm).Eight patients with giant colonic lipomas were treated with ESD at the Department of Digestive Endoscopy,Shanghai East Hospital from December 2018 to December 2021.The complete resection rate was 100%with the mean size of the resected lesion of 6.0 cm(ranging from 5.5 cm to 9.0 cm).The mean operation time of ESD was 41 minutes(ranging from 25 minutes to 80 minutes).Minimal bleeding were all successfully stopped with electrocoagulation and 2 small perforations were successfully sutured during the procedures.No abdominal pain,fever,delayed bleeding or perforation occurred after ESD.The mean hospital stay was 3 days(ranging from 3 days to 5 days).No residual or recurrence was found during the follow-up of 8-36 months.Thus,ESD is safe and effective for the treatment of giant colonic lipomas which can avoid surgical resection.

关 键 词：脂肪瘤 结肠疾病 内镜黏膜下剥离术 

分 类 号：R735.35[医药卫生—肿瘤]