| 6 | 采用弹性吻合器的内镜下胃肠道全层切除术:一种新技术显示文摘There is a significant need for a safe and easy technique for endoluminal endoscopic resection of gastrointestinal lesions, but such procedures are usually restricted to resection of the mucosal layer in order to preserve the integrity of the wall of the gastrointestinal tract. We present two patients, one with early cancer and one with a carcinoid tumor, who were treated by endoscopic full-thickness resection. We used a stapling device, consisting of a flexible shaft, which was positioned intraluminally, and a remote control. After pilot investigations in pigs and in human anatomical preparations, we performed a full-thickness resection of the gastric wall in these patients, using the flexible stapling dev ice under gastroscopic control. Gastric wall specimens up to 4 cm ×4 cm in size were resected with the use of two to three stapler magazines. Both procedures f ollowed an uneventful course and the patients made an uncomplicated recovery. Fu rther studies are necessary to test the applicability of the technique in the ma nagement of other gastric neoplastic lesions. | Kaehler G.F.B.A Grobholz R Langner C. 王顺涛 | 2006 | 世界核心医学期刊文摘(胃肠病学分册)2006，0，4： | 0 |
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