Disección submucosa endoscópica en cáncer gástrico incipiente: experiencia inicial en el Hospital Clínico de la Pontificia Universidad Católica de Chile / Endoscopic submucosal dissection in early gastric cancer: Experience in 16 patients
Rev. méd. Chile
;
143(10): 1277-1285, oct. 2015. ilus, tab
Artículo
en Español
| LILACS
| ID: lil-771711
ABSTRACT
Background:
Endoscopic submucosal dissection (ESD) is a minimally invasive procedure that allows curative treatment of early gastric cancer (EGC) in selected patients.Aim:
To report our initial experience with ESD. Material andMethods:
Analysis of prospective data from 16 patients aged 61 to 84 years, who underwent ESD between December 2011 and June 2014. Tumor type, operative time, hospitalization length, oncologic outcomes, complications and short-term follow up were registered.Results:
En-block resection was achieved in all cases. The median operative time was 135 min (range 50-320 min). Specimens' median size was 3.5 cm (range 3-10). All the resections were R0. In 14 patients ESD was considered curative. In two patients, ESD was considered potentially non-curative due to the presence pathological risk factors for lymph-node metastases in the biopsy specimen. Both patients underwent laparoscopic gastrectomy with lymph-node dissection. There was one case of gastric wall perforation that was repaired by laparoscopic suture. There was no mortality. The median follow-up time was 15 months (range 2-30 months).Conclusions:
ESD is a feasible and safe procedure in our institution with good results in this initial experience.
Texto completo:
Disponible
Índice:
LILACS (Américas)
Asunto principal:
Neoplasias Gástricas
/
Adenocarcinoma
/
Disección
/
Gastrectomía
/
Mucosa Gástrica
Tipo de estudio:
Estudio diagnóstico
/
Estudio observacional
/
Estudio pronóstico
/
Factores de riesgo
/
Estudio de tamizaje
Límite:
Anciano
/
Femenino
/
Humanos
/
Masculino
País/Región como asunto:
America del Sur
/
Chile
Idioma:
Español
Revista:
Rev. méd. Chile
Asunto de la revista:
Medicina
Año:
2015
Tipo del documento:
Artículo
País de afiliación:
Chile
Institución/País de afiliación:
Pontificia Universidad Católica de Chile/CL
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