Ding YB, Sun JH, Chen YS, Deng B, Sui W, Chen HY, Zhao Y. Endoscopic submucosal dissection for gastrointestinal lesions in the operating room: an analysis of 102 cases.
Shijie Huaren Xiaohua Zazhi 2010;
18:3267-3270. [DOI:
10.11569/wcjd.v18.i30.3267]
[Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/06/2023] Open
Abstract
AIM: To assess the efficacy and safety of endoscopic submucosal dissection (ESD) conducted in the operating room for gastrointestinal lesions.
METHODS: A total of 102 patients with gastrointestinal lesions diagnosed by endoscopy from March 2008 to May 2010 were enrolled. Chromoendoscopy and endoscopic ultrasonography were performed to confirm the extent and depth of the lesions. All the patients underwent routine preoperative evaluation. Tracheal intubation and general anesthesia were conducted in the operating room. The operation duration, volume of submucosal injection solution used, changes in blood Hb levels, and the rates of en bloc resection and complications were recorded.
RESULTS: The maximum diameter of resected samples was 2.72 cm ± 0.81 cm. The volume of submucosal injection solution used was 35.5 mL ± 14.05 mL. The average operation duration was 65.91 min ± 25.49 min. The en bloc resection rate was 95.1%. The perforation rate was 2.9%. Two patients received emergency surgery because of perforation and uncontrolled delayed hemorrhage.
CONCLUSION: ESD conducted in the operating room is associated with less complications and permits prompt, convenient handling of complications and avoiding medical risks.
Collapse